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Bewell Psychotherapy PLLC

NPI 1346819307ActiveOrganization· Psychologist· Saint Paul, MN

Psychologist in Saint Paul, Minnesota, registered in NPPES in June 2021. The authorized official on file is Ross Elliot Gubrud, MD, Md Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1346819307
StatusActive
Entity typeOrganization
NPI issuedJun 23, 2021
Last updated in NPPESOct 31, 2025
Certified by providerOct 31, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X——
Psychologist, Clinical103TC0700X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (MN)

Medicare sources and data years

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