Randall R. Pottebaum
Psychologist · Burnsville, MN
Randall R. Pottebaum is a psychologist with a practice address in Burnsville, Minnesota, and NPI 1528042223, issued on Dec 6, 2005. Check the license (Minnesota 55, 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.
- Name
- Randall R. Pottebaum
- Primary taxonomy
- Psychologist 103T00000X
- License number
- 55 MN
Self-reported in NPPES; status is on the state search - Practice location
- 14000 Fairview Dr, Burnsville, MN 55337
- Phone
- (952) 993-8608
- Enumerated
- Dec 6, 2005
- Record last updated
- Jul 13, 2026
- Entity
- Type 1 · individual
8 nearest psychologist records → All 1,694 in Minnesota → Look up another NPI →
Also registered at 14000 Fairview Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Randall R. Pottebaum in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 55Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Randall R. Pottebaum among 1,694 psychologist records in Minnesota
Randall R. Pottebaum is one of 1,694 psychologist records with a practice address in Minnesota. 22% 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 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 93% newer
- In a Medicare fileNo · 22% of these records are
- In the CMS Doctors and Clinicians fileNo · 25% of these records are
- Record last updated2026 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103T00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
22 psychologist records list a practice address in Burnsville
They are 22 of the 2,686 NPPES records with a practice address in Burnsville, and 1,694 psychologist records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,694 in Minnesota → Every provider in Burnsville → Psychologist nationwide →
The 8 psychologist records with the nearest ZIP codes
- Carole Andersen, M.A., L.P.Burnsville, MN 553371316924939
- Erin Brennan, PSYDBurnsville, MN 553371326357963
- Michelle Brouillette, PHD, LPBurnsville, MN 553371295712495
- John Cooper, PSYD, LPBurnsville, MN 553371528071065
- Suzanne Johnston, LPBurnsville, MN 553371154540458
- Jessica Kaster, PHDBurnsville, MN 553371336196237
- Carla OlsonBurnsville, MN 553371902883945
- Terry Poe, PSYD, LPBurnsville, MN 553371184738254
Common questions
What is Randall R. Pottebaum's NPI number?
Randall R. Pottebaum's National Provider Identifier (NPI) is 1528042223, issued on Dec 6, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Randall R. Pottebaum located?
The NPPES record lists a practice address at 14000 Fairview Dr, Burnsville, MN, 55337. Phone: (952) 993-8608. Providers update this record themselves, so call before visiting.
How can I verify Randall R. Pottebaum's license?
NPPES lists Minnesota license number 55, 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.