Individual provider Active NPI

Marcia Ann Bennett, PH.D., LP

  • Clinical Psychologist
  • South Saint Paul, MN
National Provider Identifier
1780766774
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP3306 Issued in MN
Practice address
2321 Heimel St
South Saint Paul, MN 55075-5836
Phone
(651) 470-3915
NPI assigned
Oct 19, 2006
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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 LP3306 MN Primary

Addresses

Primary practice location

2321 Heimel St
South Saint Paul, MN 55075-5836

Mailing address

2321 Heimel St
South Saint Paul, MN 55075-5836
Phone (651) 470-3915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260302000932 MN Practitioner - Clinical Psychologist 8527540400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insights Psychology, LLCGroup PAC ID 7517385818, 4 clinicians

Practice addresses (Care Compare)

6043 Hudson Rd
Suite 350
Woodbury, MN 55125-1012
Phone (651) 273-1245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP3306MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Insights Psychology, LLC Clinical CurrentSince Jan 19, 2026 Accepting new patients

Locations

6043 Hudson Rd
Ste 350
Woodbury, MN 55125
Phone (651) 273-1245

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1780766774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 HEIMEL ST",
            "city": "SOUTH SAINT PAUL",
            "state": "MN",
            "postal_code": "550755836",
            "telephone_number": "651-470-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 HEIMEL ST",
            "city": "SOUTH SAINT PAUL",
            "state": "MN",
            "postal_code": "550755836",
            "telephone_number": "651-470-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MARCIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D., LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP3306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.