Michelle A. Brouillette, PHD, LP
NPI 1295712495ActiveIndividual· Psychologist· Burnsville, MN
Psychologist (PHD, LP) in Burnsville, Minnesota, licensed in MN, with an NPI issued in December 2005. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1295712495 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, LP |
| Sole proprietor | No |
| NPI issued | Dec 28, 2005 |
| Last updated in NPPES | Jul 13, 2020 |
| Certified by provider | Jul 13, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | LP2929 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MN) |
|---|
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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