Maryanne Sarah Edmundson, PHD, LP
NPI 1609393628ActiveIndividual· Psychologist, Clinical· Golden Valley, MN
Psychologist, Clinical (PHD, LP) with Minneapolis Clinic of Neurology Ltd, practicing in Golden Valley, Minnesota. Medicare paid $90,691 for services to 161 patients in 2024.
Overview
| NPI | 1609393628 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, LP |
| Sole proprietor | No |
| NPI issued | Aug 30, 2017 |
| Last updated in NPPES | May 20, 2026 |
| Certified by provider | May 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | LP6135 | MN |
| Clinical Neuropsychologist | 103G00000X | LP6135 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MN); Practitioner - Clinical Psychologist (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 161 |
|---|---|
| Services billed | 1,861 across 12 procedure codes |
| Paid by Medicare | $90,691 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Minneapolis Clinic of Neurology LtdGolden Valley, MN · 76 clinicians
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All 36 clinical psychologists in Golden Valley · All clinical psychologists in Minnesota