Active NPI
Dr Mindy Beth Lipson PLLC
- Clinical Psychologist
- Peoria, AZ
National Provider Identifier
1346983582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- DR MINDY BETH LIPSON PLLC
- Practice address
- 9223 W Kings Ave
Peoria, AZ 85382-3556 - Phone
- (480) 369-1808
- NPI assigned
- Apr 15, 2022
- 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. Mindy Beth Lipson
- Title
- Owner/Psychologist
- Phone
- (646) 361-5251
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
9223 W Kings Ave
Peoria, AZ 85382-3556
Mailing address
9223 W Kings Ave
Peoria, AZ 85382-3556
Phone (646) 361-5251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17505 N 79th Ave
Ste 211A
Glendale, AZ 85308
Phone (480) 369-1808
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Peoria, AZ
- NPI 1356540173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782432000000",
"number": "1346983582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9223 W KINGS AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853823556",
"telephone_number": "646-361-5251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9223 W KINGS AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853823556",
"telephone_number": "480-369-1808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR MINDY BETH LIPSON PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-15",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A",
"authorized_official_last_name": "LIPSON",
"authorized_official_first_name": "MINDY",
"authorized_official_middle_name": "BETH",
"authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
"authorized_official_telephone_number": "646-361-5251",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.