KIMBERLY BUSHMAN (NPI# 1982783221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982783221 |
| Entity Type | Individual |
| Full Name | KIMBERLY BUSHMAN |
| Credential | PHD., LP |
| Practice Address |
14551 Judicial Rd Ste 100 Burnsville MN 55306-4991 |
| Practice Telephone | 9528985020 |
| Practice Fax Number | 9528985858 |
| Mailing Telephone | 9528985020 |
| Mailing Fax Number | 9528985858 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP3946 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 386981400 | 05 | |
| MN | MEDICA UBH | 61-77270 | 01 |
| MN | 58501420 | 05 | |
| MN | BCBS GROUP | 39Q41BU | 01 |
| MN | PREFERREDONE BHP | 20206-02 | 01 |
| MN | BCBS INDIVIDUAL | 39Q42BU | 01 |
| MN | U CARE | 167373 | 01 |
| MN | HEALTHPARTNERS | HP24334 | 01 |
| MN | AETNA | 165935-00 | 01 |
| Street Address |
14551 JUDICIAL RD STE 100 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55306-4991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144314220 | Sherri Conran | Marriage & Family Therapist | 14551 Judicial Rd Ste 100, Burnsville, MN 55306 | 2006-10-03 |
| 1285253526 | Elise Marie Keller | Counselor | 14551 Judicial Rd Ste 100, Burnsville, MN 55306-4991 | 2020-04-15 |
| 1356977441 | Cristina E. Ramin | Marriage & Family Therapist | 14551 Judicial Rd Ste 100, Burnsville, MN 55306-4991 | 2020-03-20 |
| 1508400839 | Desiree Lutterman | Counselor | 14551 Judicial Rd Ste 100, Burnsville, MN 55306-4991 | 2019-10-30 |
| 1376025312 | Sara Supplee | Dietitian, Registered | 14551 Judicial Rd Ste 100, Burnsville, MN 55306-4991 | 2018-09-06 |
| 1386125243 | Kristin Canan | Social Worker | 14551 Judicial Rd Ste 100, Burnsville, MN 55306-4991 | 2018-08-28 |
| 1871091868 | Reuben Houser | Counselor | 14551 Judicial Rd Ste 100, Burnsville, MN 55306-4991 | 2018-01-25 |
| 1306365838 | Andrew Steck | Counselor | 14551 Judicial Rd Ste 100, Burnsville, MN 55306-4991 | 2017-09-15 |
| 1588186613 | Laura Hannemann | Counselor | 14551 Judicial Rd Ste 100, Burnsville, MN 55306-4991 | 2017-07-11 |
| 1588185011 | Mollie Newhouse | Student in an Organized Health Care Education/Training Program | 14551 Judicial Rd Ste 100, Burnsville, MN 55306-4991 | 2017-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095438 | Roers Senior Living Burnsville LLC | Assisted Living Facility | 14401 Grand Avenue, Burnsville, MN 55306 | 2020-02-19 |
| 1639717986 | Kaylee Nadine Frederickson | Speech-Language Pathologist | 14451 Grand Ave S, Burnsville, MN 55306 | 2019-12-17 |
| 1780236893 | Nichole Arn | Occupational Therapist | 14301 Ewing Avenue, Burnsville, MN 55306 | 2019-07-10 |
| 1942708516 | Nicholas John Solverson | Chiropractor | 14671 Chicago Ave Apt 6, Burnsville, MN 55306 | 2018-01-29 |
| 1164978672 | Benjamin Halpern | Dentist | 14344 Burnhaven Drive, Burnsville, MN 55306 | 2016-08-26 |
| 1528478336 | Michael Patrick Hennes | Chiropractor | 14587 Grand Ave Ste 112, Burnsville, MN 55306 | 2014-05-01 |
| 1467799924 | Dentalign, Pa | Dentist | 2999 County Road 42 W Suite 138, Burnsville, MN 55306 | 2013-01-03 |
| 1417205436 | Heather Heide | Student in an Organized Health Care Education/Training Program | 14750 Lac Lavon Dr, Burnsville, MN 55306 | 2012-08-23 |
| 1427243898 | Rehana Leila Ahmed-saucedo | Dermatology | 14305 Southcross Dr, Suite 110, Burnsville, MN 55306 | 2007-09-10 |
| 1881815397 | Kyle James Colbert | Chiropractor | 745 Crystal Lake Rd East, Burnsville, MN 55306 | 2007-05-01 |
| Find all providers in zip 55306 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518250984 | Sarah Robinson-hudson | Psychologist | 3000 County Road 42 W Ste 210, Burnsville, MN 55337 | 2011-05-18 |
| 1104054329 | Jami Jeyn Hughes | Psychologist | 201 W Travelers Trl Ste 212, Burnsville, MN 55337-4905 | 2009-06-25 |
| 1831264498 | Louise Agnes Griffith | Psychologist | 14575 Grand Ave, Burnsville, MN 55306-5722 | 2006-11-21 |
| 1245312818 | Patricia Verby Psychological Services Inc | Psychologist | 1751 Southcross Dr W, Burnsville, MN 55306-7012 | 2006-10-20 |
| 1184738254 | Terry Lawrence Poe | Psychologist | 675 Nicollet Blvd East, Burnsville, MN 55337-6741 | 2006-08-18 |
| 1528071065 | John F. Cooper | Psychologist | 200 E Travelers Trl Ste 225, Burnsville, MN 55337-4191 | 2006-08-14 |
| 1326025313 | Robyn Swenson | Psychologist | 1755 Southcross Dr W, Burnsville, MN 55306-7012 | 2005-12-29 |
| 1295712495 | Michelle A Brouillette | Psychologist | 11990 Portland Ave, Burnsville, MN 55337-1516 | 2005-12-28 |
| 1952386526 | Richard S Lafans | Psychologist | 14300 Nicollet Ct, Ste 130, Burnsville, MN 55306-3422 | 2005-12-07 |
| 1780666958 | Susan Peters | Psychologist | 14587 Grand Ave, #201, Burnsville, MN 55306-5700 | 2005-11-15 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55306 |
Please comment or provide details below to improve the information on KIMBERLY BUSHMAN.
| 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.