Organization Active NPI

Lani T. Bennett, PH. , P.a.

  • Psychologist
  • Minneapolis, MN
National Provider Identifier
1083858450
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP1729 Issued in MN
Legal business name
LANI T. BENNETT, PH. , P.A.
Practice address
430 Oak Grove St
Suite 230
Minneapolis, MN 55403-3253
Phone
(612) 870-0230
Fax
(612) 872-9170
NPI assigned
Apr 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lani T Bennett, PH. D.
Title
President
Phone
(612) 870-0230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X LP1729 MN Primary

Addresses

Primary practice location

430 Oak Grove St
Suite 230
Minneapolis, MN 55403-3253

Mailing address

484 Nature View CT
West St Paul, MN 55118-4459
Phone (612) 870-0230

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1083858450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 NATURE VIEW CT",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551184459",
            "telephone_number": "612-870-0230",
            "fax_number": "612-872-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 OAK GROVE ST",
            "address_2": "SUITE 230",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033253",
            "telephone_number": "612-870-0230",
            "fax_number": "612-872-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANI T. BENNETT, PH. , P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "LANI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-870-0230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.