RANDALL EARL BUNDY (NPI# 1982627535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982627535 |
| Entity Type | Individual |
| Full Name | RANDALL EARL BUNDY |
| Credential | LP |
| Practice Address |
1407 S State St New Ulm MN 56073 |
| Mailing Address |
1407 S State St New Ulm MN 56073-3715 |
| Practice Telephone | 5073543181 |
| Practice Fax Number | 5073543183 |
| Mailing Telephone | 5073543181 |
| Mailing Fax Number | 5073543183 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP1021 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UCARE | 150226 | 01 |
| MN | 230222500 | 05 | |
| MN | BCBS | 45396BU | 01 |
| MN | UCARE | 122361 | 01 |
| MN | UBH/MEDICA | 8441161 | 01 |
| MN | HEALTH PARTNERS | 84722 | 01 |
| Street Address |
1407 S STATE ST |
| City | NEW ULM |
| State | MN |
| Zip Code | 56073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568925295 | Barbara Jeanne Brindle | Counselor | 1407 S State St, New Ulm, MN 56073-3715 | 2019-04-10 |
| 1316413099 | Bradley Ross Vanover | Social Worker | 1407 S State St, New Ulm, MN 56073-3715 | 2018-10-19 |
| 1588172266 | Kristin Renae Hemstock | Psychologist | 1407 S State St, New Ulm, MN 56073-3715 | 2018-01-17 |
| 1801286570 | Victoria Rae Mueller | Counselor | 1407 S State St, New Ulm, MN 56073-3715 | 2015-02-02 |
| 1619367711 | Kelly M Meissner | Marriage & Family Therapist | 1407 S State St, New Ulm, MN 56073-3715 | 2015-01-27 |
| 1699118570 | Megan Jessica Mills | Counselor | 1407 S State St, New Ulm, MN 56073-3715 | 2013-04-10 |
| 1306128186 | Kimberly Lynn Gates | Counselor | 1407 S State St, New Ulm, MN 56073-3715 | 2011-09-16 |
| 1730468000 | Meaghan Morley Ament Johansen | Psychologist | 1407 S State St, New Ulm, MN 56073-3715 | 2011-08-04 |
| 1255630265 | Rebecca Marie Mensing | Social Worker | 1407 S State St, New Ulm, MN 56073-3715 | 2011-03-17 |
| 1275715492 | Kara A Derner | Psychologist | 1407 S State St, New Ulm, MN 56073-3715 | 2007-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811405376 | Serenity Family Counseling LLC | Social Worker | 15 South Minnesota Street, New Ulm, MN 56073 | 2018-01-18 |
| 1962940338 | Ambassadors for Spiritual & Mental Wellness | Clinic/Center | 23 Minnesota St S, New Ulm, MN 56073 | 2017-02-06 |
| 1124289038 | Highland Manor, Inc | Home Health | 1314 8th Street North, New Ulm, MN 56073 | 2008-06-23 |
| 1821264854 | Thomas Patrick Keaveny | Social Worker | 1400 6th Street North, New Ulm, MN 56073 | 2008-04-30 |
| 1558539478 | Jennifer Joy Erdman | Registered Nurse | 6 North Minnesota Street, New Ulm, MN 56073 | 2008-02-13 |
| 1154522290 | Eon, Inc. | Home Health | 1200 S Broadway, New Ulm, MN 56073 | 2007-05-29 |
| 1750599643 | New Ulm Chiropractic Office, Pa | Chiropractor | 117 S Broadway, New Ulm, MN 56073 | 2007-05-21 |
| 1174646392 | Woodview Dental Clinic, Pllc | Dentist | 2000 S Broadway, New Ulm, MN 56073 | 2007-04-10 |
| 1528199940 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 1720 Westridge Rd, New Ulm, MN 56073 | 2007-03-08 |
| 1083779912 | Independent School District - 88 | Local Education Agency (LEA) | 414 South Payne Street, New Ulm, MN 56073 | 2006-12-22 |
| Find all providers in zip 56073 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811475999 | Wisconsin Lutheran Child &family Service, Inc. | Psychologist | 45638 561st Ave, New Ulm, MN 56073-5507 | 2018-08-01 |
| 1871725929 | Kathryn Kuhlmann Schwartz | Psychologist | 9 1/2 N Minnesota St, New Ulm, MN 56073-1727 | 2009-08-21 |
| 1275715492 | Kara A Derner | Psychologist | 1407 S State St, New Ulm, MN 56073-3715 | 2007-11-29 |
| 1619070620 | Daniel Arthur Johnson | Psychologist | 1407 S State St, New Ulm, MN 56073 | 2006-09-06 |
| 1033176623 | David J Schaetzke | Psychologist | 1217 8th St N, New Ulm, MN 56073-1552 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899291 | Charlotte Mae Gerth Haanen | Psychologist | 2805 Cliff Rd E, Burnsville, MN 55337-4095 | 2020-10-17 |
| 1386251148 | Andrew Charles Weis | Psychologist | 158 Water St N Ste 1, Northfield, MN 55057-2125 | 2020-09-25 |
| 1861008567 | Natalia V Potapova | Psychologist | 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 | 2020-09-17 |
| 1720691884 | Oluwatosin Alabi | Psychologist | 4124 Quebec Ave N Ste 307, New Hope, MN 55427-1241 | 2020-08-28 |
| 1962014167 | Kate Esterline | Psychologist | 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 | 2020-08-19 |
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1699392266 | Jacqueline Suresh Layton | Psychologist | 17324 Glencoe Ave, Lakeville, MN 55044-7429 | 2020-06-30 |
| 1760016109 | Cori Miller | Psychologist | 7300 Metro Blvd Ste 400, Edina, MN 55439-2307 | 2020-02-25 |
| 1831722594 | Collaboration for Psychological Wellness, LLC | Psychologist | 12000 Portland Ave Ste 120, Burnsville, MN 55337-4469 | 2020-02-20 |
| 1780214601 | Jennifer Jacqueline Felinski Kurtz | Psychologist | 16688 Kentucky Ave, Lakeville, MN 55044-4616 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.