JEREMY T ALDEN, PhD LP — NPI 1376656991 (Licensed & Credentialed Clinical Neuropsychologist in ST PAUL, MN)

CMS-1500 Box 24J / 33a • NPI

1376656991

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103G00000X

Licensed & Credentialed Clinical Neuropsychologist

Box 32 Service Location & ZIP+4

347 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES, ST PAUL, MN, 55102

Official NPPES Practice Location

Practice Phone & Referral Fax

(651) 220-6720

Fax: (651) 220-6707

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1376656991 (JEREMY T ALDEN, PhD LP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1376656991` (NPI-1 Individual Practitioner)
Provider / Legal Name	JEREMY T ALDEN, PhD LP
Plain-English Specialty	Licensed & Credentialed Clinical Neuropsychologist NUCC Code: `103G00000X` (Clinical Neuropsychologist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	347 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES, ST PAUL, MN, 55102
Practice Telephone / Fax	Tel: (651) 220-6720 \| Fax: (651) 220-6707
Administrative Mailing Address	2910 CENTRE POINTE DRIVE, ROSEVILLE, MN, 55113
Enumeration & Last Sync	Enumerated: 2006-08-17 \| CMS Record Updated: 2025-09-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

347 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES, ST PAUL, MN, 55102

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Plain-English Taxonomy & CMS Crosswalk (103G00000X)

What Does Taxonomy Code 103G00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103G00000X translates to:
"Licensed & Credentialed Clinical Neuropsychologist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Clinical Neuropsychologist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JEREMY T ALDEN, PhD LP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103G00000X` — Clinical Neuropsychologist Plain English: Licensed & Credentialed Clinical Neuropsychologist	State: MN \| License: `LP4240` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JEREMY T ALDEN, PhD LP (NPI #1376656991)