Ben Jonathan Lippe, PH.D.

Key facts

NPI

1669871992

Entity type

Individual (NPI type 1)

Primary specialty

Psychologist 103T00000X

License

36840 (TX)

Practice address

5323 Harry Hines Boulevard
Dallas, TX 75390-7201

Phone

(214) 648-3043

Fax

(214) 648-9627

NPI assigned

Aug 22, 2014

Sex

Male

Sole proprietor

No

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.

• Health Psychology Texas PLLC Clinical Psychologist · Roanoke, TX · NPI 1982554440
  Medicare reassignment NPD Authorized official CLINICAL · TX
• University of Texas Southwestern Medical Center at Dallas Anesthesiology Physician · Dallas, TX · NPI 1942270566
  NPD

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score

82.87 of 100 (group)

Quality

70.15

Promoting interoperability

100

Improvement activities

40

Cost

72.75

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 11, 2014.

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1669871992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347",
            "telephone_number": "214-648-3043",
            "fax_number": "214-648-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BOULEVARD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907201",
            "telephone_number": "214-648-3043",
            "fax_number": "214-648-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPE",
        "first_name": "BEN",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36840",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

• Yael Reinhold Lipnik, LCSW
• Roman Lipovetsky, MD
• Alexandra Lippas, N/A
• Marc Lippas, D.D.S.
• Matthew Daniel Lippas, M.D.
• Sheron Jennifer Doe Lipper
• Dylan Corey Lippert, MD
• Brandi D Lippincott, LPC
• Dakota David Lipps, MD
• Tiara Lipps, LMFT-A

All providers in Dallas, TX · Psychologist in Texas