MR. BRAD WILLIAM HOUGHTON PSYD, LP
NPI 1053528125
Psychologist - Clinical Child & Adolescent in Minneapolis, MN

Active since May 17, 2007PECOS Enrolled
5019 38TH AVE S, MINNEAPOLIS, MN 55417(612) 308-7038 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Brad William Houghton Psyd, Lp NPPES

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

MR. BRAD WILLIAM HOUGHTON PSYD, LP (NPI 1053528125) is an individual clinical child & adolescent provider in Minneapolis, Minnesota, licensed in Minnesota (4812) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053528125
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameMR. BRAD WILLIAM HOUGHTONCredential: PSYD, LP
Location Address5019 38TH AVE SMinneapolis, MN 55417-1662
Mailing Address5019 38th Ave SMinneapolis, MN 55417-1662 · (612) 308-7038
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1053528125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in MN · 4812
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
5019 38TH AVE S, Minneapolis, MN 55417

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)

Mr. Brad William Houghton Psyd, Lp 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 Reassignments

2

Medicare enrollment records show Brad Houghton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Developmental Disabilities
1935 COUNTRY ROAD B2 WEST, SUITE 100
Roseville, MN 55113
  • Reassigned Medicare billing, Minnesota enrollment
  • 2 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
16201 90TH ST NE STE 203
Otsego, MN 55330
  • Reassigned Medicare billing, Minnesota enrollment
  • 8 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.

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 Brad Houghton's NPI number?

The NPI number for Brad Houghton is 1053528125. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Brad Houghton located?

Brad Houghton practices at 5019 38th Ave S, Minneapolis, MN 55417. The listed phone number is (612) 308-7038.

What is Brad Houghton's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Brad Houghton enrolled in Medicare?

Yes. Brad Houghton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brad Houghton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brad Houghton reassigns Medicare benefits to 2 organizations: Rosenberg Center Assessment And Treatment For Children & Families PA (Roseville, MN) and Sunrise Wellness, LLC (Otsego, MN). Each 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 Brad Houghton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brad Houghton accept?

Health plans from HealthPartners and Sanford Health Plan list Brad Houghton 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 Brad Houghton was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.