Individual provider Active NPI

Sheila M Becking, PSY. D.

  • Clinical Psychologist
  • Minneapolis, MN
National Provider Identifier
1982763322
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP4649 Issued in MN
Practice address
1313 5TH St SE
Suite 223B
Minneapolis, MN 55414-4504
Phone
(612) 735-2513
Fax
(763) 559-0149
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

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
Clinical Psychologist 103TC0700X LP4649 MN Primary

Addresses

Primary practice location

1313 5TH St SE
Suite 223B
Minneapolis, MN 55414-4504

Mailing address

513 Chapel CT
Eagan, MN 55121-2368
Phone (612) 735-2513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16903 Fischer Rd
Unit 2
Lakewood, OH 44107-5514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP4649MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheila Becking, Psy.D., LLC Clinical CurrentSince Mar 7, 2021 Accepting new patients

Locations

16903 Fischer Rd
Ste 2
Lakewood, OH 44107
Phone (216) 221-1925

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982763322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 CHAPEL CT",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212368",
            "telephone_number": "612-735-2513",
            "fax_number": "763-559-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 5TH ST SE",
            "address_2": "SUITE 223B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554144504",
            "telephone_number": "612-735-2513",
            "fax_number": "763-559-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKING",
        "first_name": "SHEILA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.