Bewell Psychotherapy PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

BEWELL PSYCHOTHERAPY PLLC

Practice address

1821 University Ave W Ste 461-9
Saint Paul, MN 55104-2801

Phone

(612) 421-3178

Fax

(612) 421-3183

NPI assigned

Jun 23, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Ross Elliot Gubrud, MD

Title

MD Owner

Phone

(612) 421-3187

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1346819307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 XENIUM LN N APT 123",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554412222",
            "telephone_number": "612-421-3187",
            "fax_number": "612-421-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 461-9",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042801",
            "telephone_number": "612-421-3178",
            "fax_number": "612-421-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEWELL PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "GUBRUD",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "612-421-3187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Katharina Betts, MS, ATC
• Karre J Betzig
• Gesina Regina Beukes, RN
• Beverly Jean Long
• Beverly Long, Psy.D., L.P., LLC
• Aimee Bey
• Saikou Beyai
• Joana Beyer, MD
• Melinda Anne Beyer
• Beyond Brink (WEcovery)

• Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.