JOHN BENNETT (NPI# 1215955513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215955513 |
| Entity Type | Individual |
| Full Name | JOHN BENNETT |
| Credential | M.A., LP |
| Practice Address |
8451 Point Douglas Road E Cottage Grove MN 55016 |
| Mailing Address |
7066 Stillwater Blvd N Oakdale MN 55128-3937 |
| Practice Telephone | 6514584116 |
| Practice Fax Number | 6514585632 |
| Mailing Telephone | 6517775222 |
| Mailing Fax Number | 6512515111 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2790 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HP | 17574 | 01 |
| MN | UBH | 62-20082 | 01 |
| MN | P1 | 570033 | 01 |
| MN | CP | 252287 | 01 |
| MN | BCBS | 57129BE | 01 |
| MN | UC | 106225 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386910495 | John Lawrence Bennett | Emergency Medicine | 459 Clarence St, Johnstown, PA 15905-1812 | 2012-03-23 |
| 1548598410 | John Gordon Bennett | Community Health Worker | 1200 West Ave, Suite 825, Miami Beach, FL 33139-4377 | 2009-12-03 |
| 1194052035 | John Arthur Bennett | Internal Medicine | 1835 County Line Rd, Villanova, PA 19085-1729 | 2009-11-13 |
| 1710137583 | John Kelly Bennett | Radiologic Technologist | 1661 Kinsmere Dr, Trinity, FL 34655-4528 | 2008-09-29 |
| 1225292808 | John Keith Bennett | Physical Therapist | 7826 Stonewall Ct, Lincoln, NE 68506-4171 | 2008-07-14 |
| 1407033723 | John O. Bennett | Nurse Anesthetist, Certified Registered | 4104 Water Oak Pl, Virginia Beach, VA 23452-2124 | 2008-01-29 |
| 1639230642 | John Brian Bennett | Obstetrics & Gynecology | St Anthonys Medical Center, St Louis, MO 63128-2106 | 2006-12-13 |
| 1649353103 | John Calvin Bennett Sr. | Dentist | 100 Rice Mine Rd N Ste D, Tuscaloosa, AL 35406-2375 | 2006-10-20 |
| 1306857446 | John Dieter Bennett | Psychiatry & Neurology | 2600 N Stemmons Fwy, Suite 151, Dallas, TX 75207-2113 | 2006-08-11 |
| 1154341733 | John Allyn Bennett | Dentist | 1369 G St, Arcata, CA 95521-5820 | 2006-07-19 |
| Street Address |
8451 POINT DOUGLAS ROAD E |
| City | COTTAGE GROVE |
| State | MN |
| Zip Code | 55016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073161519 | Kathleen Johnson | Technician | 7436 Hinton Park Ave South, Cottage Grove, MN 55016 | 2019-08-28 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1235532771 | Lydia Sirucek | Nurse Practitioner | 8611 E Point Douglas Rd, Cottage Grove, MN 55016 | 2014-09-29 |
| 1366859746 | Home Care Service Providers Inc. | Home Health | 9635 Hamlet Ave, Cottage Grove, MN 55016 | 2014-07-17 |
| 1942622089 | Wal-mart Stores, Inc. | Technician/Technologist | 9300 East Point Douglas Rd S, Cottage Grove, MN 55016 | 2014-01-08 |
| 1255770962 | Southside At The Cottage Grove Site | Family Medicine | 8454 East Point Douglas Road, Cottage Grove, MN 55016 | 2013-06-17 |
| 1710222088 | Santori Chiropractic Center, LLC | Chiropractor | 7155 80th Street So, Cottage Grove, MN 55016 | 2012-11-28 |
| 1609151414 | Kenneth Nworah Okafor | Pharmacist | 7015 East Point Douglas Road, Cottage Grove, MN 55016 | 2011-10-13 |
| 1134432925 | Elizabeth Frances Rezek | Social Worker | 8813 Hale Ave S, Cottage Grove, MN 55016 | 2010-07-21 |
| 1841420882 | Mark Joseph Mangine | Physical Therapist | 6936 Pine Arbor Dr S Ste 150, Cottage Grove, MN 55016 | 2009-07-24 |
| Find all providers in zip 55016 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821217118 | Howard Keith Mcconnell | Psychologist | 411 Washington Ave, Cottage Grove, OR 97424-2060 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493952 | Michelle Brownfield | Psychologist | 606 Spear Ave, Duluth, MN 55803-2154 | 2020-10-01 |
| 1730716994 | Tamolyn Patterson Benke | Psychologist | 8453 Casey Ct, Inver Grove Heights, MN 55076-5154 | 2020-03-26 |
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1134764871 | Avital Ogniewicz | Psychologist | 2519 Commerce Dr Nw, Rochester, MN 55901-4432 | 2019-11-15 |
| 1164065868 | Karen Nicole Chinnock | Psychologist | 930 Blue Gentian Rd, Eagan, MN 55121-1674 | 2019-10-25 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1083257349 | Nathaniel Page | Psychologist | 2423 Valley Dr, Northfield, MN 55057-3224 | 2019-10-18 |
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1881243590 | Bill Clafton Psyd Lp LLC | Psychologist | 1755 Old West Main St Ste 204, Red Wing, MN 55066-3057 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
| City | COTTAGE GROVE |
| Zip Code | 55016 |
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| 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.