Healthcare Provider Details

I. General information

NPI: 1801305578
Provider Name (Legal Business Name): SCHNEIDER PSYCHOLOGICAL & BEHAVIORAL SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2017
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 CITY WEST PKWY STE 200
EDEN PRAIRIE MN
55344-7707
US

IV. Provider business mailing address

6600 CITY WEST PKWY STE 200
EDEN PRAIRIE MN
55344-7707
US

V. Phone/Fax

Practice location:
  • Phone: 612-356-2756
  • Fax: 612-712-9214
Mailing address:
  • Phone: 612-356-2756
  • Fax: 612-712-9214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. BRET PETER SCHNEIDER
Title or Position: CEO
Credential: PSYD, LP
Phone: 612-356-2756