BROWNELL MACK III PSYD
NPI 1023095627
Psychologist in Minneapolis, MN
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
Specialties & Licenses 2
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).
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.
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.
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.