NPPES file of Aug 9, 2026

Bruce Keith Thordal, PHD

Cognitive & Behavioral Psychologist · Eagan, MN

Bruce Keith Thordal, PHD is a cognitive & behavioral psychologist with a practice address in Eagan, Minnesota, and NPI 1417091455, issued on Feb 15, 2007. Check the license (Minnesota LP1135, as entered in NPPES) with the Minnesota board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1417091455
Name
Bruce Keith Thordal
Credential
PHD
Primary taxonomy
Cognitive & Behavioral Psychologist 103TB0200X
License number
LP1135 MN
Self-reported in NPPES; status is on the state search
Practice location
2870 Highview Ter, Eagan, MN 55121
Phone
(612) 860-1238
Enumerated
Feb 15, 2007
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(952) 948-1277
Medicare enrollment
Enrolled (PECOS I20120413000506); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Bruce Keith Thordal in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
    Search for license LP1135
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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Bruce Keith Thordal among 45 cognitive & behavioral psychologist records in Minnesota

Bruce Keith Thordal, PHD is one of 45 cognitive & behavioral psychologist records with a practice address in Minnesota. 11% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2007, is newer than 49% of them.

  • NPI issued2007 · 49% of these records are older, 29% newer
  • In a Medicare fileNo · 11% of these records are
  • In the CMS Doctors and Clinicians fileYes · 16% of these records are
  • Record last updated2007 · 80% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TB0200X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Cognitive & Behavioral Psychologist providers in Minnesota

There are 45 cognitive & behavioral psychologist records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 cognitive & behavioral psychologist records with the nearest ZIP codes

  1. Deborah Fisher, PSY D. L.P.Saint Paul, MN 551301134299167
  2. Lucas Wanga, PH.D.St Paul, MN 551301881015253
  3. Helayne BerkeMaplewood, MN 551091912429606
  4. Sean ClarkMaplewood, MN 551091457864605
  5. Emma Worthley, MAMaplewood, MN 551091386259612
  6. Phyllis Phelan, PH.D.Saint Paul, MN 551041366649386
  7. Kevin Kirley, M.S.Lakeville, MN 550441649338443
  8. Dale Lokkesmoe, M.A.Lakeville, MN 550441558437764

Common questions

What is Bruce Keith Thordal, PHD's NPI number?

Bruce Keith Thordal, PHD's National Provider Identifier (NPI) is 1417091455, issued on Feb 15, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Bruce Keith Thordal, PHD located?

The NPPES record lists a practice address at 2870 Highview Ter, Eagan, MN, 55121. Phone: (612) 860-1238. Providers update this record themselves, so call before visiting.

How can I verify Bruce Keith Thordal, PHD's license?

NPPES lists Minnesota license number LP1135, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.