Individual provider Active NPI

Steven Bingner, M.S., L.P.

  • Psychologist
  • Rochester, MN
National Provider Identifier
1568469104
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0911 Issued in MN
Practice address
3640 9TH St NW
Rochester, MN 55901-6685
Phone
(507) 424-3234
Fax
(507) 424-3235
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0911 MN Primary

Addresses

Primary practice location

3640 9TH St NW
Rochester, MN 55901-6685

Mailing address

3640 9TH St NW
Rochester, MN 55901-6685
Phone (507) 424-3234

Other identifiers 2

IdentifierTypeStateIssuer
29A94BIOtherMNBC/BS
4143482500MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0911MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Roger Eichman Psychologist Past Accepting new patients
Rochester Center for Children, LLC PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 2

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1568469104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 9TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016685",
            "telephone_number": "507-424-3234",
            "fax_number": "507-424-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 9TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016685",
            "telephone_number": "507-424-3234",
            "fax_number": "507-424-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGNER",
        "first_name": "STEVEN",
        "credential": "M.S., L.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "0911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "29A94BI",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4143482500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.