Thomas T. Bennett, PSYD, LP
NPI 1306823794ActiveIndividual· Psychologist, Clinical· St Louis Park, MN
Psychologist, Clinical (PSYD, LP) in St Louis Park, Minnesota, licensed in MN, with an NPI issued in December 2005. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1306823794 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD, LP |
| Sole proprietor | No |
| NPI issued | Dec 27, 2005 |
| Last updated in NPPES | Dec 12, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | LP4251 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MN) |
|---|
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