Mindy Sue Benowitz, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP1193 Issued in MN

Practice address

2908 Humboldt Ave S
Minneapolis, MN 55408-1953

Phone

(612) 870-0398

Fax

(612) 822-2766

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1821156258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 HUMBOLDT AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081953",
            "telephone_number": "612-870-0398",
            "fax_number": "612-822-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 HUMBOLDT AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081953",
            "telephone_number": "612-870-0398",
            "fax_number": "612-822-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOWITZ",
        "first_name": "MINDY",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "855350500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MN",
            "identifier": "3K446BE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler John Benning, MD
• Beth K Bennington, WHCNP, CNM
• Irving Benoist, PHD LP
• Debra Easley Benoit, MSN
• Benovate, Inc.
• Keeley Bensen
• Jessica T Benshoof, PHARMD
• Megan Oberle Bensignor, MD
• Abraline Benson-Remi
• Shirley R Benson-Rogers, MS, LADC

• Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.