Active NPI
Lani T. Bennett, PH. , P.a.
- Psychologist
- Minneapolis, MN
National Provider Identifier
1083858450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP1729
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Minneapolis, MN
- NPI 1306962998
-
- Psychologist
- Minneapolis, MN
- NPI 1811050248
-
- Clinical Psychologist
- Minneapolis, MN
- NPI 1437295839
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.