Provider Demographics
NPI:1093966301
Name:NEUMANN, BIBI NOMO (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BIBI
Middle Name:NOMO
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 STINSON BLVD
Mailing Address - Street 2:SUITE 223
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55421-3488
Mailing Address - Country:US
Mailing Address - Phone:612-666-3111
Mailing Address - Fax:
Practice Address - Street 1:4001 STINSON BLVD
Practice Address - Street 2:SUITE 223
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55421-3488
Practice Address - Country:US
Practice Address - Phone:612-666-3111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-06
Last Update Date:2015-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN01588101YM0800X, 101Y00000X, 101YP2500X
174H00000X, 171000000X, 171M00000X, 133NN1002X, 103TH0100X, 103TF0000X, 103TS0200X, 103TP2701X, 103TR0400X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No174H00000XOther Service ProvidersHealth Educator
No171000000XOther Service ProvidersMilitary Health Care Provider
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation