NPI 1528042223 RANDALL R POTTEBAUM ST LOUIS PARK MN. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Randall R Pottebaum - NPI: 1528042223

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: RANDALL R POTTEBAUM
NPI Number: 1528042223
Entity Type Code: Individual (1)
Gender: M
Credentials:
License Number: 55
Business Practice Address: 14000 Fairview Dr
Park Nicollet Clinic Burnsville Burnsville, MN - 553375713
Business Phone Number: 9529938608
Business Fax Number:
Mailing Address: 6465 Wayzata Blvd, Ste 315
ST LOUIS PARK
State: MN
Postal Code: 554261728
Phone Number: 9529936450
Fax Number: 9529930300
NPI Enumeration Date: 12/06/2005
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 103T00000X
License Number: 55
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MN
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Psychologist
Taxonomy Specialization:
Taxonomy 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.


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