Heather Bodurtha
Clinical Psychologist · New Brighton, MN
Heather Bodurtha is a clinical psychologist with a practice address in New Brighton, Minnesota, and NPI 1679774673, issued on May 29, 2007. Check the license (Minnesota LP4705, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Heather Bodurtha
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- LP4705 MN
Self-reported in NPPES; status is on the state search - Practice location
- 1900 Silver Lake RD NW, New Brighton, MN 55112
- Phone
- (651) 628-9566
- Enumerated
- May 29, 2007
- Record last updated
- Oct 10, 2012 (not updated in 14 years: call before relying on the address or phone)
- Medicaid ID
- 652660100 MN
- Medicare enrollment
- Enrolled (PECOS I20070622000270); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 1,538 in Minnesota → Look up another NPI →
Also registered at 1900 Silver Lake RD NW
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Heather Bodurtha in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license LP4705Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Nystrom And Associates LtdNew Brighton, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Heather Bodurtha among 1,538 clinical psychologist records in Minnesota
Heather Bodurtha is one of 1,538 clinical psychologist records with a practice address in Minnesota. 26% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 37% of them.
- NPI issued2007 · 37% of these records are older, 49% newer
- In a Medicare fileYes · 26% of these records are
- In the CMS Doctors and Clinicians fileYes · 33% of these records are
- Graduated2004 · median 2008 among the 510 with a school on file
- Record last updated2012 · 66% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
35 clinical psychologist records list a practice address in New Brighton
They are 35 of the 568 NPPES records with a practice address in New Brighton, and 1,538 clinical psychologist records in Minnesota.
All 1,538 in Minnesota → Every provider in New Brighton → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Mark Anderson, MA LP LMFTNew Brighton, MN 551121649372590
- Dale Barron, MA, LP, LMFTNew Brighton, MN 551121366467052
- Eldon Brue, PH.D., LP, LMFTNew Brighton, MN 551121154354926
- Thomas Hainlen, PSYDNew Brighton, MN 551121750483608
- Barbara Hanson, PHD LPSaint Paul, MN 551121114029063
- Shawn Hofer, PH.D., L.P.New Brighton, MN 551121760493936
- Loren Hubin, PHDNew Brighton, MN 551121841200698
- Scot Hunter, MA, LPNew Brighton, MN 551121639191117
Common questions
What is Heather Bodurtha's NPI number?
Heather Bodurtha's National Provider Identifier (NPI) is 1679774673, issued on May 29, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Heather Bodurtha located?
The NPPES record lists a practice address at 1900 Silver Lake RD NW, New Brighton, MN, 55112. Phone: (651) 628-9566. Providers update this record themselves, so call before visiting.
How can I verify Heather Bodurtha's license?
NPPES lists Minnesota license number LP4705, 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. Medicare files from data.cms.gov. 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.