Individual provider Active NPI

Mindy Beth Lipson, PSY.D.

  • Clinical Psychologist
  • Peoria, AZ
National Provider Identifier
1356540173
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4093 Issued in AZ
Practice address
9223 W Kings Ave
Peoria, AZ 85382-3556
Phone
(646) 361-5251
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4093 AZ 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 MI, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080729000136 MI Practitioner - Clinical Psychologist 5496846420
I20110405000688 AZ Practitioner - Clinical Psychologist 5496846420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Life IncGroup PAC ID 8123433034, 113 clinicians

Practice addresses (Care Compare)

7301 N 16TH St
Suite 102
Phoenix, AZ 85020-5266
Phone (800) 567-5433

9223 W Kings Ave
Peoria, AZ 85382-3556
Phone (480) 369-1808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017163NYMDMental Health Counselor
4093AZMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Inc. CurrentSince Jul 30, 2023 Accepting new patients
Momentum Counseling Center LLC PastSince Sep 9, 2017 Accepting new patients
Doctor on Demand Professionals of California Psychologist Past Accepting new patients
Doctor on Demand Professionals of Texas, P.a. Past Accepting new patients
Geriatric Psychiatric Services PLLC Clinical Past Accepting new patients

Locations

7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1356540173",
    "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": "646-361-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSON",
        "first_name": "MINDY",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.