DR. JOSEPH JOHN BENNETT (NPI# 1366815227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366815227 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH JOHN BENNETT |
| Credential | PSY.D., LP |
| Practice Address |
1900 Silver Lake Rd Nw Ste 110 New Brighton MN 55112-1789 |
| Practice Telephone | 6516289566 |
| Practice Fax Number | 6516280411 |
| Mailing Telephone | 6516289566 |
| Mailing Fax Number | 6516280411 |
| Enumeration Date | 2015-11-01 |
| Last Update Date | 2018-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP5944 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801074406 | Joseph Smith Bennett Iv | Internal Medicine | 1893 Fox Hill Lane, Paoli, PA 19301-0189 | 2008-02-06 |
| 1073799011 | Joseph M Bennett | Chiropractor | 2308 Temple Ave N, Fayette, AL 35555-1118 | 2008-01-19 |
| 1063627255 | Joseph L Bennett | Specialist | 5651 Hwy 752, Ashville, OH 43103-9549 | 2007-05-11 |
| 1538293261 | Joseph Ronald Bennett | Dentist | 1211 W Wheeler Pkwy, Augusta, GA 30909-1899 | 2007-03-15 |
| 1366557571 | Joseph Stephen Bennett | Dentist | 800 Highway 1 S, Delta Plaza Suite B21, Greenville, MS 38703-5952 | 2006-08-20 |
| 1952333569 | Joseph C Bennett | Chiropractor | 1300 50th Street, Lower Level-suite 106, West Des Moines, IA 50266-5499 | 2006-07-06 |
| 1235185117 | Joseph Stephen Bennett Jr. | Chiropractor | 4211 Mundy Mill Pl, Suite B, Oakwood, GA 30566-2530 | 2006-05-25 |
| 1831156983 | Joseph S Bennett | Physician Assistant | 615 S 32nd St, Muskogee, OK 74401-5012 | 2006-05-01 |
| 1003437252 | Joseph Chase Bennett | Occupational Therapist | 700 South 19th Street, 8305a - Office, Birmingham, AL 35233 | 2020-04-29 |
| 1720548183 | Joseph Grady Bennett | Internal Medicine | 3901 Rainbow Blvd # Ms 2027, Kansas City, KS 66160 | 2019-03-21 |
| Street Address |
1900 SILVER LAKE RD NW STE 110 |
| City | NEW BRIGHTON |
| State | MN |
| Zip Code | 55112-1789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255313839 | Kim Contardi Pareigat | Psychologist | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2005-11-18 |
| 1013524016 | Wa S Cheng-berg | Counselor | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2020-09-24 |
| 1821602863 | Alyssa Schultz | Counselor | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2020-09-08 |
| 1659981199 | Megan Lahti | Counselor | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2020-08-07 |
| 1013525021 | Autumn Bussuvanno | Counselor | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2020-07-15 |
| 1326665662 | Jamie Mae Hammond | Counselor | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2020-07-02 |
| 1366069213 | Allyson Case | Counselor | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2020-06-26 |
| 1265058721 | Brittney Wacek | Social Worker | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2020-06-21 |
| 1831714757 | Hannah Rose Brandt | Social Worker | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2020-06-16 |
| 1851931596 | Emma Rose Keehr | Counselor | 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 | 2020-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729704 | Owegio Wreh | Technician | 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 | 2020-04-22 |
| 1205497435 | Silver Lake Smiles Family Dentistry | Clinic/Center | 2370 Palmer Drive, New Brighton, MN 55112 | 2019-06-27 |
| 1932766169 | Matthew Thomas Hanowski | Dentist | 2442 Mounds View Boulevard, Mounds View, MN 55112 | 2019-05-22 |
| 1437619988 | Marjean Diane Leary | Registered Nurse | 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 | 2019-03-21 |
| 1558802728 | Krishna Katira | Student in an Organized Health Care Education/Training Program | 2442 County Hwy 10, Mounds View, MN 55112 | 2017-03-20 |
| 1245781608 | Evan Fredrick Lieberman | Counselor | 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 | 2016-10-20 |
| 1093262065 | Ryan Zinken | Nurse Practitioner | 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 | 2016-09-07 |
| 1447703228 | Alison Glodek | Social Worker | 2543 17th St Nw, New Brighton, MN 55112 | 2016-07-28 |
| 1659728194 | Ge Vang Sr. | Driver | 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 | 2016-05-14 |
| 1114373578 | Jessica Gapinski | Specialist/Technologist | 3900 Bethel Drive, Arden Hills, MN 55112 | 2016-05-04 |
| Find all providers in zip 55112 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164711735 | North Central Ministry Development Center, Inc. | Psychologist | 516 Mission House Ln, New Brighton, MN 55112-2571 | 2011-04-04 |
| 1396071023 | Jason Ting Li | Psychologist | 1501 28th Ave Nw, New Brighton, MN 55112-1743 | 2009-10-31 |
| 1760493936 | Shawn Lee Hofer | Psychologist | 900 Long Lake Rd Ste 320, New Brighton, MN 55112-6439 | 2006-08-11 |
| 1841200698 | Loren Paul Hubin | Psychologist | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 | 2006-08-08 |
| 1255949533 | The Woodland Center for Psychotherapy | Psychologist | 900 Long Lake Rd Ste 320, New Brighton, MN 55112-6439 | 2020-07-22 |
| 1326531724 | Dr. Rebecca Hern, Pllc | Psychologist | 900 Long Lake Rd Ste 320, New Brighton, MN 55112-6439 | 2018-06-11 |
| 1649793779 | Jennifer Lindh, Ph.d., Lp LLC | Psychologist | 900 Long Lake Rd Ste 320, New Brighton, MN 55112-6439 | 2017-07-20 |
| 1033643903 | Rachel Rose Hulkonen | Psychologist | 900 Long Lake Rd Ste 160, New Brighton, MN 55112-6414 | 2017-04-17 |
| 1225580897 | Jordan Lindh, Psy.d., Lp L.L.C. | Psychologist | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 | 2016-10-31 |
| 1689039901 | Rebecca Hern | Psychologist | 900 Long Lake Rd Ste 320, New Brighton, MN 55112 | 2015-12-31 |
| Find all providers in NEW BRIGHTON | ||||
| City | NEW BRIGHTON |
| Zip Code | 55112 |
Please comment or provide details below to improve the information on DR. JOSEPH JOHN BENNETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.