NPPES file of Aug 9, 2026

Mark Dominic Bertucci, PSYD, LP

Clinical Psychologist · Burnsville, MN

Mark Dominic Bertucci, PSYD, LP is a clinical psychologist with a practice address in Burnsville, Minnesota, and NPI 1376055665, issued on Oct 26, 2017. Check the license (Minnesota LP6174, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.

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

NPPES recordNPPES file of Aug 9, 2026
1376055665
Name
Mark Dominic Bertucci
Credential
PSYD, LP
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
LP6174 MN
Self-reported in NPPES; status is on the state search
Practice location
675 E Nicollet Blvd Ste 250, Burnsville, MN 55337
Phone
(952) 993-3307
Enumerated
Oct 26, 2017
Record last updated
Mar 17, 2018 (not updated in 8 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20180322001919); 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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8 nearest clinical psychologist records → All 1,538 in Minnesota → Look up another NPI →

Also registered at 675 E Nicollet Blvd Ste 250

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Brandyce Edson, LPCC, LADCProfessional Counselor1447895065
  2. Anna Ellason, DNP, RN, CPNPNurse Practitioner1356634224
  3. Brian Koller, M.D.Psychiatry Physician1043295223
  4. Rebecca Langseth, MA, LPCC, ATRMental Health Counselor1700308954
  5. Casey Lloyd, PSYD, LPClinical Psychologist1679071823
  6. Tarah Pringle, PSYD, LP, LMFTPsychologist1033666342

Verify Mark Dominic Bertucci 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 LP6174    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
Find the Minnesota license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Park Nicollet ClinicSt Louis Park, MN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Mark Dominic Bertucci among 1,538 clinical psychologist records in Minnesota

Mark Dominic Bertucci, PSYD, LP 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 2017, is newer than 81% of them.

  • NPI issued2017 · 81% of these records are older, 16% newer
  • In a Medicare fileYes · 26% of these records are
  • In the CMS Doctors and Clinicians fileYes · 33% of these records are
  • Graduated2016 · median 2008 among the 510 with a school on file
  • Record last updated2018 · 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).

25 clinical psychologist records list a practice address in Burnsville

They are 25 of the 2,686 NPPES records with a practice address in Burnsville, and 1,538 clinical psychologist records in Minnesota.

All 1,538 in Minnesota → Every provider in Burnsville → Clinical Psychologist nationwide →

The 8 clinical psychologist records with the nearest ZIP codes

  1. Pamela Beyer, PSY.D., L.P.Burnsville, MN 553371609973874
  2. Rachael Britton, MABurnsville, MN 553371558648774
  3. Erica Eisenman, PSY.D.Burnsville, MN 553371891193454
  4. Robert Ellison, L.P.Burnsville, MN 553371265526412
  5. Justin King, PSY.DBurnsville, MN 553371356779771
  6. Suzanne Kish, PSYD, LPBurnsville, MN 553371528040342
  7. Robert Lopno, L.P.Burnsville, MN 553371457456345
  8. Deborah Nagurski, L.P.Burnsville, MN 553371497850374

Common questions

What is Mark Dominic Bertucci, PSYD, LP's NPI number?

Mark Dominic Bertucci, PSYD, LP's National Provider Identifier (NPI) is 1376055665, issued on Oct 26, 2017. An NPI identifies a provider in billing; it is not a license.

Where is Mark Dominic Bertucci, PSYD, LP located?

The NPPES record lists a practice address at 675 E Nicollet Blvd Ste 250, Burnsville, MN, 55337. Phone: (952) 993-3307. Providers update this record themselves, so call before visiting.

How can I verify Mark Dominic Bertucci, PSYD, LP's license?

NPPES lists Minnesota license number LP6174, 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.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

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.