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DR. BRUCE KEITH THORDAL PHD
NPI 1417091455
Psychologist - Cognitive & Behavioral in Eagan, MN

Active since February 15, 2007PECOS EnrolledAccepts Medicare Assignment
2870 HIGHVIEW TER, EAGAN, MN 55121(612) 860-1238(952) 948-1277 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bruce Keith Thordal Phd NPPES

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

DR. BRUCE KEITH THORDAL PHD (NPI 1417091455) is an individual cognitive & behavioral provider in Eagan, Minnesota, licensed in Minnesota (LP1135) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1417091455
Entity TypeIndividualMale
Primary Taxonomy103TB0200X
Provider Legal NameDR. BRUCE KEITH THORDALCredential: PHD
Location Address2870 HIGHVIEW TEREagan, MN 55121-1110
Mailing Address2870 Highview TerEagan, MN 55121-1110 · (612) 860-1238 · Fax (952) 948-1277
Phone(612) 860-1238
Fax(952) 948-1277
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417091455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in MN · LP1135
Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

2870 HIGHVIEW TER, Eagan, MN 55121
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Other Identifiers 2

Other201747400MN · Medical Assistance
Medicare ID-Type Unspecified680000676MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bruce Keith Thordal Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406017748
PECOS Enrollment IDI20120413000506
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
168 services19 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
164 services19 patients

Other Providers at the Same Location NPPES

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

CONSULTING PSYCHOLOGISTS ASSOCIATES PA
Psychologist (Cognitive & Behavioral)
2870 HIGHVIEW TER
SAINT PAUL, MN 55121
Dakota County (651) 225-0854

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 Bruce Thordal's NPI number?

The NPI number for Bruce Thordal is 1417091455. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Bruce Thordal located?

Bruce Thordal practices at 2870 Highview Ter, Eagan, MN 55121. The listed phone number is (612) 860-1238.

What is Bruce Thordal's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Bruce Thordal enrolled in Medicare?

Yes. Bruce Thordal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Bruce Thordal was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.