Individual provider Active NPI

Cynthia Margaret Neubecker, M.A., LP

  • Psychologist
  • Minneapolis, MN
National Provider Identifier
1578589446
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3129 Issued in MN
Practice address
2530 38TH Ave S
Minneapolis, MN 55406-1750
Phone
(612) 729-5616
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3129 MN Primary

Addresses

Primary practice location

2530 38TH Ave S
Minneapolis, MN 55406-1750

Mailing address

2530 38TH Ave S
Minneapolis, MN 55406-1750
Phone (612) 729-5616

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 Arts

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578589446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 38TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061750",
            "telephone_number": "612-729-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 38TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061750",
            "telephone_number": "612-729-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUBECKER",
        "first_name": "CYNTHIA",
        "middle_name": "MARGARET",
        "credential": "M.A., LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "3129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.