KIMBERLY BUSHMAN PHD., LP
NPI 1982783221
Psychologist in Burnsville, MN

Active since November 06, 2006PECOS Enrolled
14551 JUDICIAL RD STE 100, BURNSVILLE, MN 55306(952) 898-5020(952) 898-5858 Get Directions Write a Review

NPPES record last updated: April 5, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Bushman Phd., Lp NPPES

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

KIMBERLY BUSHMAN PHD., LP (NPI 1982783221) is an individual psychologist in Burnsville, Minnesota, licensed in Minnesota (LP3946) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982783221
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKIMBERLY BUSHMANCredential: PHD., LP
Location Address14551 JUDICIAL RD STE 100Burnsville, MN 55306-4991
Mailing Address14551 Judicial Rd Ste 100Burnsville, MN 55306-4991 · (952) 898-5020 · Fax (952) 898-5858
Fax(952) 898-5858
Sole ProprietorNo
Enumeration DateNovember 6, 2006
Last NPPES UpdateApril 5, 2018
NPI 1982783221 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 · LP3946
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.

14551 JUDICIAL RD STE 100, Burnsville, MN 55306

Other Identifiers 9

OtherHP24334MN · Healthpartners
Medicaid386981400MN
Other165935-00MN · Aetna
Medicaid58501420MN
Other39Q42BUMN · Bcbs Individual
Other39Q41BUMN · Bcbs Group
Other167373MN · U Care
Other20206-02MN · Preferredone Bhp
Other61-77270MN · Medica Ubh

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)

Kimberly Bushman Phd., Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

Dietitian, Registered
14551 JUDICIAL RD STE 100
BURNSVILLE, MN 55306
Counselor (Professional)
14551 JUDICIAL RD STE 100
BURNSVILLE, MN 55306
Social Worker (Clinical)
14551 JUDICIAL RD STE 100
BURNSVILLE, MN 55306
Marriage & Family Therapist
14551 JUDICIAL RD STE 100
BURNSVILLE, MN 55306
Social Worker (Clinical)
14551 JUDICIAL RD STE 100
BURNSVILLE, MN 55306
Marriage & Family Therapist
14551 JUDICIAL RD STE 100
BURNSVILLE, MN 55306
Counselor (Professional)
14551 JUDICIAL RD STE 100
BURNSVILLE, MN 55306
Counselor (Mental Health)
14551 JUDICIAL RD STE 100
BURNSVILLE, MN 55306

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 Kimberly Bushman's NPI number?

The NPI number for Kimberly Bushman is 1982783221. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Kimberly Bushman located?

Kimberly Bushman practices at 14551 Judicial Rd Ste 100, Burnsville, MN 55306. The listed phone number is (952) 898-5020.

What is Kimberly Bushman's specialty?

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

Is Kimberly Bushman enrolled in Medicare?

Yes. Kimberly Bushman is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Bushman accept?

Health plans from HealthPartners list Kimberly Bushman 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 Kimberly Bushman was last updated on April 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.