BEWELL PSYCHOTHERAPY PLLC
NPI 1346819307
Psychologist in Saint Paul, MN

Active since June 23, 2021
1821 UNIVERSITY AVE W STE 461-9, SAINT PAUL, MN 55104(612) 421-3178(612) 421-3183 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2021, Jun 23, 2021 (2 updates tracked since 2021).

About Bewell Psychotherapy Pllc NPPES

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

BEWELL PSYCHOTHERAPY PLLC (NPI 1346819307) is a healthcare organization registered as a psychologist in Saint Paul, Minnesota and active in the NPI registry since June 2021. The organization lists Ross Elliot Gubrud, Md Owner, as its authorized official.

NPPES Registry Identity

NPI1346819307
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameBEWELL PSYCHOTHERAPY PLLC
Location Address1821 UNIVERSITY AVE W STE 461-9Saint Paul, MN 55104-2801
Mailing Address3501 Xenium Ln N Apt 123Minneapolis, MN 55441-2222 · (612) 421-3187 · Fax (612) 421-3183
Fax(612) 421-3183
Organization SubpartNo
Authorized OfficialRoss Elliot GubrudMd Owner · (612) 421-3187
Enumeration DateJune 23, 2021
Last NPPES UpdateOctober 31, 20252 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
NPI 1346819307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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 ListedPsychologist · ClinicalTaxonomy 103TC0700X
1821 UNIVERSITY AVE W STE 461-9, Saint Paul, MN 55104

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
1821 UNIVERSITY AVE W STE 461-9
SAINT PAUL, MN 55104

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 Bewell Psychotherapy PLLC's NPI number?

The NPI number for Bewell Psychotherapy PLLC is 1346819307. It was assigned to this organization in the NPPES registry on June 23, 2021.

Where is Bewell Psychotherapy PLLC located?

Bewell Psychotherapy PLLC is located at 1821 University Ave W Ste 461-9, Saint Paul, MN 55104. The listed phone number is (612) 421-3178.

What is Bewell Psychotherapy PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Bewell Psychotherapy PLLC was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.