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

Randall R Pottebaum

Individual provider Psychologist · NPI 1528042223

Randall R Pottebaum is a Psychologist in Burnsville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005

Practice location Address checks out

14000 Fairview Dr Park Nicollet Clinic Burnsville
Burnsville, MN 55337-5713
Phone: (952) 993-8608
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 55 (MN)

Record details

NPI number1528042223
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 6, 2005
Last updated in NPPESJuly 13, 2026
Mailing address6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426-1728

Other providers in Burnsville