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DR. THOMAS ARTHUR BREITENBUCHER PH.D., L.P.
NPI 1699846154
Psychologist - Clinical in Brooklyn Center, MN

Active since November 13, 2006PECOS Enrolled
6120 EARLE BROWN DR, SUITE 520, BROOKLYN CENTER, MN 55430(763) 531-0566(763) 531-0602 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Thomas Arthur Breitenbucher Ph.d., L.p. NPPES

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

DR. THOMAS ARTHUR BREITENBUCHER PH.D., L.P. (NPI 1699846154) is an individual clinical provider in Brooklyn Center, Minnesota, licensed in Minnesota (LP2794) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1699846154
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. THOMAS ARTHUR BREITENBUCHERCredential: PH.D., L.P.
Location Address6120 EARLE BROWN DR, SUITE 520Brooklyn Center, MN 55430-2123
Mailing Address6120 Earle Brown Dr, Suite 520Brooklyn Center, MN 55430-2123 · (763) 531-0566 · Fax (763) 531-0602
Phone(763) 531-0566
Fax(763) 531-0602
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateNovember 13, 2006
Last NPPES UpdateNovember 17, 2016
✔ NPI 1699846154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP2794
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LP2794 (MN)
6120 EARLE BROWN DR, Brooklyn Center, MN 55430
Open in Google Maps ↗

Other Identifiers 5

Medicare PIN680001316MN
Medicaid433853700MN
Other104654MN · Ucare
Other54R37BRMN · Bluecrossblueshield
Other61-16175MN · Medica

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Arthur Breitenbucher Ph.d., L.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638350465
PECOS Enrollment IDI20110225000638
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 Thomas Breitenbucher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Therapy And Wellness PA
7.6 mi
Mental Health (Including Community Mental Health Center)
11165 ZEALAND AVE N
Champlin, MN 55316
  • Reassigned Medicare billing, Minnesota enrollment
  • 5 clinicians in this Medicare group
NPI 1265462212 (763) 531-0566

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55430 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

DR. DOROTHY SUE EDELSON PSY.D., L.P.
Psychologist (Clinical)
6120 EARLE BROWN DR, STE. 520
BROOKLYN CENTER, MN 55430
Hennepin County (763) 531-0566
TAMMY LYNN WOOD-BEHNKE M.A.
Counselor (Mental Health)
6120 EARLE BROWN DR
BROOKLYN CENTER, MN 55430
Hennepin County (763) 560-0900
MR. THOMAS PAUL MILLS MA, LPP
Psychologist
6120 EARLE BROWN DR, SUITE 200
BROOKLYN CENTER, MN 55430
Hennepin County (763) 566-0088
MISS CONSTANCE MARIE DUMMER LP, LMFT, RPT-S
Psychologist
6120 EARLE BROWN DR, SUITE #200
BROOKLYN CENTER, MN 55430
Hennepin County (763) 566-0088
MR. MICHAEL ALLEN GUYMON MSW LCSW
Social Worker (Clinical)
6120 EARLE BROWN DR, STE 210
BROOKLYN CENTER, MN 55430
Hennepin County (763) 560-0900
SPENCER OLSON LP
Psychologist (Clinical)
6120 EARLE BROWN DR, SUITE 520
BROOKLYN CENTER, MN 55430
Hennepin County (763) 531-0566
RESCAREMINNESOTA, INC.
Community/Behavioral Health
6120 EARLE BROWN DR, SUITE 100
BROOKLYN CENTER, MN 55430
Hennepin County (763) 537-6612
CHRISTIAN RECOVERY CENTER
Counselor
6120 EARLE BROWN DR, SUITE 200
BROOKLYN CENTER, MN 55430
Hennepin County (763) 566-0088

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 Thomas Breitenbucher's NPI number?

The NPI number for Thomas Breitenbucher is 1699846154. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Thomas Breitenbucher located?

Thomas Breitenbucher practices at 6120 Earle Brown Dr Suite 520, Brooklyn Center, MN 55430. The listed phone number is (763) 531-0566.

What is Thomas Breitenbucher's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Thomas Breitenbucher enrolled in Medicare?

Yes. Thomas Breitenbucher is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas Breitenbucher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Breitenbucher reassigns Medicare benefits to North Therapy And Wellness PA (Champlin, 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 Thomas Breitenbucher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Breitenbucher accept?

Health plans from HealthPartners list Thomas Breitenbucher 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 Thomas Breitenbucher was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.