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

Dr. Michael William Tindall, LP

Individual provider Psychologist · NPI 1902697279

Dr. Michael William Tindall, LP is a Clinical Psychologist in Oakdale, Minnesota. Qualified in 2022, 4 years ago. Practices with Optimal Brain Mn PLLC, a 20-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2025

Practice location Address checks out

992 Inwood Ave N
Oakdale, MN 55128-6625
Phone: (651) 472-5915
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP7193 (MN)

Record details

NPI number1902697279
Entity typeIndividual (Type 1)
GenderMale
Credentials LP
Sole proprietorYes
NPI enumeratedMay 15, 2025
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing address800 Gramsie Rd, Shoreview, MN 55126-2902

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Optimal Brain Mn Pllc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oakdale