RANDALL EARL BUNDY
NPI 1649367806
Psychologist in Brainerd, MN

Active since October 09, 2006
510 BLUFF AVE, BRAINERD, MN 56401(218) 829-1063 Get Directions Write a Review

NPPES record last updated: August 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randall Earl Bundy NPPES

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

RANDALL EARL BUNDY (NPI 1649367806) is a healthcare organization registered as a psychologist in Brainerd, Minnesota and active in the NPI registry since October 2006. The organization lists Randy Earl Bundy, Owner, as its authorized official.

NPPES Registry Identity

NPI1649367806
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameRANDALL EARL BUNDY
Location Address510 BLUFF AVEBrainerd, MN 56401-2653
Mailing Address510 Bluff AveBrainerd, MN 56401-2653 · (218) 829-1063
Organization SubpartNo
Authorized OfficialRandy Earl BundyOwner · (218) 829-1063
Enumeration DateOctober 9, 2006
Last NPPES UpdateAugust 1, 2008
NPI 1649367806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
510 BLUFF AVE, Brainerd, MN 56401

Other Identifiers 4

Other122361MN · Ucare
Medicaid8115555100MN
Other5066093MN · Medica
Other9050ADMN · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Randall Earl Bundy's NPI number?

The NPI number for Randall Earl Bundy is 1649367806. It was assigned to this organization in the NPPES registry on October 9, 2006.

Where is Randall Earl Bundy located?

Randall Earl Bundy is located at 510 Bluff Ave, Brainerd, MN 56401. The listed phone number is (218) 829-1063.

What is Randall Earl Bundy's specialty?

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

When was this NPI record last updated?

The NPPES record for Randall Earl Bundy was last updated on August 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.