DR. MICHELLE A BROUILLETTE PHD, LP
NPI 1295712495
Psychologist in Burnsville, MN

Active since December 28, 2005PECOS Enrolled
11990 PORTLAND AVE, BURNSVILLE, MN 55337(612) 462-7053(952) 479-7896 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michelle A Brouillette Phd, Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHELLE A BROUILLETTE PHD, LP (NPI 1295712495) is an individual psychologist in Burnsville, Minnesota, licensed in Minnesota (LP2929) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1295712495
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MICHELLE A BROUILLETTECredential: PHD, LP
Location Address11990 PORTLAND AVEBurnsville, MN 55337-1516
Mailing Address11990 Portland AveBurnsville, MN 55337-1516 · (952) 435-8814 · Fax (952) 435-7705
Fax(952) 479-7896
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 28, 2005
Last NPPES UpdateJuly 13, 2020
NPPES CertifiedJuly 13, 2020
NPI 1295712495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP2929
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
11990 PORTLAND AVE, Burnsville, MN 55337

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Michelle A Brouillette Phd, Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719034214
PECOS Enrollment IDI20090421000467
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Mental Health)
11990 PORTLAND AVE
BURNSVILLE, MN 55337
Marriage & Family Therapist
11990 PORTLAND AVE
BURNSVILLE, MN 55337
Marriage & Family Therapist
11990 PORTLAND AVE
BURNSVILLE, MN 55337
Counselor (Mental Health)
11990 PORTLAND AVE
BURNSVILLE, MN 55337
Art Therapist
11990 PORTLAND AVE
BURNSVILLE, MN 55337
Marriage & Family Therapist
11990 PORTLAND AVE
BURNSVILLE, MN 55337
Marriage & Family Therapist
11990 PORTLAND AVE
BURNSVILLE, MN 55337
Marriage & Family Therapist
11990 PORTLAND AVE
BURNSVILLE, MN 55337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Brouillette's NPI number?

The NPI number for Michelle Brouillette is 1295712495. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Michelle Brouillette located?

Michelle Brouillette practices at 11990 Portland Ave, Burnsville, MN 55337. The listed phone number is (612) 462-7053.

What is Michelle Brouillette's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Michelle Brouillette enrolled in Medicare?

Yes. Michelle Brouillette is registered in the Medicare PECOS enrollment system.

What insurance does Michelle Brouillette accept?

Health plans from HealthPartners and Providence Health Plan list Michelle Brouillette as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michelle Brouillette was last updated on July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.