RANDALL R POTTEBAUM – Psychologist, NPI 1528042223
Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for RANDALL R POTTEBAUM
Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States
STE 315
ST LOUIS PARK, MN 554261728
Phone: (952) 993-6450
Fax: (952) 993-0300
Type: Mailing
14000, Fairview Drive, Burnsville, Dakota County, Minnesota, 55337, United States
PARK NICOLLET CLINIC BURNSVILLE
BURNSVILLE, MN 553375713
Phone: (952) 993-8608
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55426)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.