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

Stacey Brandjord

Individual provider Psychologist · NPI 1134098254

Stacey Brandjord is a Clinical Psychologist in Minneapolis, Minnesota. Qualified in 2024, 2 years ago. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2025

Practice location Address checks out

2025 E River Pkwy
Minneapolis, MN 55414-3604
Phone: (612) 365-8400
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP7018 (MN)

Record details

NPI number1134098254
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 5, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
Mailing address2025 E River Pkwy, Minneapolis, MN 55414-3604

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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