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

Q: 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.

Q: What is Thomas Breitenbucher's specialty?

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

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: August 02, 2026.

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.