Organization Active NPI

Dr Mindy Beth Lipson PLLC

  • Clinical Psychologist
  • Peoria, AZ
National Provider Identifier
1346983582
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Dr. Mindy Beth LipsonNPI 1356540173
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20220518000427 AZ Part B Supplier - Clinic/Group Practice 2567849292 Receives reassigned benefits from 1 practitioner
Practice locations: Surprise, AZ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.