Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jason Edward Kisser, PHD

Individual provider Clinical Neuropsychologist · NPI 1770141673

Dr. Jason Edward Kisser, PHD is a Clinical Psychologist in Minneapolis, Minnesota. Graduated from University of Maryland School of Medicine in 2017, 9 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Minnesota.

Years since qualifying
9
Trained at
University of Maryland School of Medicine
Licensed in
MI, MN
In the registry since
2019
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3915 Golden Valley Rd
Minneapolis, MN 55422-4249
Phone: (612) 262-3464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18181 Oakwood Blvd Ste 411, Dearborn, MI 48124-4082 — (313) 982-5150

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence LP6782 (MN)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 6301017201 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence LP6782 (MN)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6301017201 (MI)

Record details

NPI number1770141673
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 5, 2019
Last updated in NPPESJune 10, 2022
Certification dateJune 10, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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