Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nancy K Bottorff, LP

Individual provider Psychologist · NPI 1780733774

Nancy K Bottorff, LP is a Clinical Psychologist in Minneapolis, Minnesota. Qualified in 2004, 22 years ago. Works from 2 locations and offers telehealth. Licensed in Hawaii and Minnesota.

Years since qualifying
22
Licensed in
HI, MN
In the registry since
2007
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3108 Hennepin Ave
Minneapolis, MN 55408-2619
Phone: (612) 590-7572
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75-5995 Kuakini Hwy Ste 221, Kailua Kona, HI 96740-2120 — (612) 207-0090

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP4674 (MN)
Psychologist Taxonomy 103T00000X · Licence PSY-1910 (HI)

Record details

NPI number1780733774
Entity typeIndividual (Type 1)
GenderFemale
Credentials LP
Sole proprietorNo
NPI enumeratedJanuary 9, 2007
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025
Mailing address3927 Thomas Ave S, Minneapolis, MN 55410-1235

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Minneapolis