About

Mary Breitenbucher is a Psychologist in Thief River Falls, Minnesota. She has over 15 years of experience. She is affiliated with Sanford Health Network North (also known as Sanford Behavioral Health Center Clinic). Contact Mary Breitenbucher to request her Medicare information, payment methods she accepts, or to book an appointment.

Basic Data

Entity Type: Individual; Not Sole Proprietor

Organization Name: Sanford Medical Center Thief River Falls

Gender

Female

Years in Practice

15 years

Healthcare Provider Taxonomy

  • Code: 103T00000X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Psychologist

Credentials

  • Doctor of Philosophy (PHD)
  • Licensed Psychologist (LP)

Individual MIPS

Merit-Based Incentive Payment System (MIPS) final scores and performance category scores for therapists.

Quality Category Score

100%

PI Category Score

100%

IA Category Score

40%

Final MIPS Score

100 %

HCPCS Codes

Healthcare Common Procedure Coding System (HCPCS) codes commonly used by this therapist.

Code Code Description Service Count Beneficiary Count
90832 Psychotherapy, 30 minutes 18 11
90834 Psychotherapy, 45 minutes 75 20

Licenses

Name License Number State
LP LP0394 Verify MN

Practice Locations

120 Labree Ave S

Thief River Falls, MN 56701-2840

Phone Number: (218) 683-4351

Fax Number: (218) 683-4362

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Dr. Danielle A. Jordan

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Mark A. Dupont

Master of Arts (MA)
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Dr. Rene H. Mooney

Doctor of Psychology (PSYD)

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Dawn M. Ellis

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Ann Johnson

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