BROWNELL MACK III PSYD
NPI 1023095627
Psychologist in Minneapolis, MN

Active since December 27, 2005PECOS Enrolled
1313 PENN AVE N, MINNEAPOLIS, MN 55411(612) 302-4600 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Brownell Mack Iii Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROWNELL MACK III PSYD (NPI 1023095627) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (LP4548) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023095627
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameBROWNELL MACK IIICredential: PSYD
Location Address1313 PENN AVE NMinneapolis, MN 55411-3047
Mailing Address1313 Penn Ave NMinneapolis, MN 55411-3047 · (612) 302-4600
Sole ProprietorNo
Enumeration DateDecember 27, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1023095627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MN · LP4548
Definition
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.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License LP4548 (MN)
1313 PENN AVE N, Minneapolis, MN 55411

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brownell Mack Iii Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Brownell Mack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
4027 COUNTY ROAD 25
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 148 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1313 PENN AVE N
MINNEAPOLIS, MN 55411
Community Health Worker
1313 PENN AVE N
MINNEAPOLIS, MN 55411
Psychologist (Clinical)
1313 PENN AVE N
MINNEAPOLIS, MN 55411
Psychologist
1313 PENN AVE N
MINNEAPOLIS, MN 55411
Family Medicine
1313 PENN AVE N
MINNEAPOLIS, MN 55411
Counselor (Mental Health)
1313 PENN AVE N
MINNEAPOLIS, MN 55411
Psychologist
1313 PENN AVE N, NORTHPOINT HEALTH AND WELLNESS CENTER
MINNEAPOLIS, MN 55411
Dentist
1313 PENN AVE N
MINNEAPOLIS, MN 55411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brownell Mack's NPI number?

The NPI number for Brownell Mack is 1023095627. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Brownell Mack located?

Brownell Mack practices at 1313 Penn Ave N, Minneapolis, MN 55411. The listed phone number is (612) 302-4600.

What is Brownell Mack's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Brownell Mack enrolled in Medicare?

Yes. Brownell Mack is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brownell Mack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brownell Mack reassigns Medicare benefits to Associated Clinic Of Psychology Inc (St Louis Park, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brownell Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brownell Mack accept?

Health plans from HealthPartners and Sanford Health Plan list Brownell Mack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brownell Mack was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.