Jonathan McKay Beyer, PHD, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP1430 Issued in MN

Practice address

3932 W Pioneer Rd
Duluth, MN 55803-9341

Phone

(218) 310-4801

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurie Jane Beyer, MSW, LISW

  • Clinical Social Worker
  • Duluth, MN
  • NPI 1215306089

  MN

  Medicare reassignment

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.

• Jonathan M Beyer

  • Clinical Psychologist
  • Duluth, MN
  • NPI 1124539598
  NPD (past) Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1851455869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3932 W PIONEER RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558039341",
            "telephone_number": "218-310-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3932 W PIONEER RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558039341",
            "telephone_number": "218-310-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYER",
        "first_name": "JONATHAN",
        "middle_name": "MCKAY",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Bettendorf, M.D.
• Nicoli Franklin Bettin, APRN, CRNA
• Jillene Beuke, PHARMD
• Sydney Hope Bexell, RD, LD
• Christine A Beyer, DC
• Laurie Jane Beyer, MSW, LISW
• Beyond Words Grief Loss and Trauma Therapy
• Grishma P Bharucha, M.D.
• Jaidev R Bhoopal, M.D.
• Kaitlyn Bhoopal, APRN

• All providers in Duluth, MN
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.