Heather Bodurtha
Clinical Psychologist | 21+ years Exp
1900 Silver Lake Rd Nw, 110, New Brighton
Minnesota, 55112-1786
651-628-9566 Maps & DirectionsHeather Bodurtha is a New Brighton, Minnesota based psychologist with 21 years of experience in Clinical Psychology. She completed her graduation in 2004. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Heather Bodurtha is LP4705 for Clinical Psychology in Minnesota. Her current practice location is 1900 Silver Lake Rd Nw, 110, New Brighton. Patients can reach her at 651-628-9566. Heather Bodurtha NPI number (Unique professional ID assigned by NPPES) is 1679774673.
Heather Bodurtha is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Her main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that she can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Heather Bodurtha speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Heather Bodurtha |
| Specialization: | Clinical Psychology |
| Gender: | Female |
| Experience: | 21+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2004 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1900 Silver Lake Rd Nw, 110, New Brighton,
Minnesota, 55112-1786 |
| Phone: | 651-628-9566 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8729187331 |
| Enrollment ID: | I20070622000270 |
| NPI Number: | 1679774673 |
| NPI Enumeration Date: | 29 May, 2007 |
| NPI Last Update On: | 10 Oct, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Heather Bodurtha are as mentioned below.
| License Number | Specialization | State | Status | |
| LP4705 | Clinical Psychology | Minnesota | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Heather Bodurtha is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Nystrom And Associates Ltd (6406752492) | 172 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Heather Bodurtha such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 652660100 | Medicaid | Minnesota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Heather Bodurtha
1900 Silver Lake Rd Nw, 110
New Brighton, Minnesota |
| Zip: | 55112-1786 |
Patients can reach Heather Bodurtha at
1900 Silver Lake Rd Nw, 110, New Brighton, Minnesota or can
call to book an appointment on 651-628-9566.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.