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Deactivated NPI 1710033279 Deactivated / Inactive NPI Female Practitioner

Dr. Caroline Jane Bad Heart Bull , PsyD

Psychologist - Counseling • Brainerd, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Caroline Bad Heart Bull has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 26, 2007
NPI Deactivation Date October 15, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Caroline Bad Heart Bull, PsyD was a registered Psychologist - Counseling practicing in Brainerd, MN. Throughout an active medical career spanning 13 years, Dr. Bad Heart Bull provided care at the practice location at 523 N 3RD ST until profile deactivation on 2020-10-15.

Historical Medicare Part B clinical services included psychotherapy, psychiatric diagnostic evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

523 N 3rd St

Brainerd, MN 564013054

Telephone 2188287464
Associated Practice Facility / Clinic
🏢 St. Joseph's Medical Center Facility NPI 1568415974

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Counseling in Brainerd, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Brainerd, MN (419 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
46.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
225 21 $200.00 $131.62
90791 Psychiatric diagnostic evaluation
12 12 $300.00 $135.94

Medical Specialties & State Licenses

Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

State License MN LP4453

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003192154

Doctor of Osteopathic Medicine (D.O.)

Barbara Parks , MED, LICSW

Social Worker - Clinical

NPI 1013083344

Master of Education, Licensed Independent Clinical Social Worker

NPI 1013146737

Doctor of Medicine (M.D.)

Dr. Charles Benson , MD

Radiology - Diagnostic Radiology

NPI 1023042520

Doctor of Medicine (M.D.)

NPI 1023109261

Doctor of Medicine (M.D.)

Desiree Holzer

Emergency Medicine

NPI 1023283066

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 15, 2020

Record deactivated on October 15, 2020

NPI Profile Active June 09, 2016

NPI status registered as active in NPPES database

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Updated Practice Location June 09, 2016

Registered at 523 N 3RD ST, BRAINERD, MN 564013054 (Tel: 2188287464)

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Updated Business Mailing Address June 09, 2016

Registered at 13968 CYPRESS DR, STE 1A, BAXTER, MN 564255904 (Tel: 2188287464)

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Provider Name / Credentials Updated June 09, 2016

Recorded as CAROLINE BAD HEART BULL, PSY.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2016

Psychologist (License #LP4453 in MN)

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Initial NPI Registration & Enumeration January 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710033279
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2007
Last Update: June 09, 2016
Deactivation Date: October 15, 2020

Mailing Address

13968 Cypress Dr, Ste 1a

Baxter, MN 564255904

Phone: 2188287464

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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