Dr. Bruce Keith Thordal, PHD
Dr. Bruce Keith Thordal is a Cognitive & Behavioral Psychologist provider (Psychologist) practicing in Eagan, MN, registered in the NPPES registry with NPI 1417091455 since 2007. The credential PHD stands for Doctor of Philosophy. Practices at Consulting Psychologists Associates PA (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1417091455 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Bruce Keith Thordal |
| Credential | PHD |
| Sex | Male |
| Practice address | Eagan, MN, 55121 |
| Phone | 6128601238 |
| Fax | 9529481277 |
| Enumeration date | 2007-02-15 |
| Last updated in NPPES | 2007-07-08 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103TB0200X | Cognitive & Behavioral Psychologist | Primary | LP1135 | MN |
PHD — Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201747400 | Other | MN | MEDICAL ASSISTANCE |
Copy-ready billing details
Provider: Bruce Thordal, PHD NPI: 1417091455 Taxonomy: 103TB0200X (Cognitive & Behavioral Psychologist) Address: Eagan, MN, 55121
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1740559699 | Consulting Psychologists Associates PA | Organization | Cognitive & Behavioral Psychologist | Saint Paul, MN |
Verify this record
Cross-check NPI 1417091455 against the authoritative CMS record: view Dr. Bruce Keith Thordal on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.