Mark Bertucci, PSYD, LP
NPI 1376055665 · Clinical Psychologist · Burnsville, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Bertucci, PSYD, LP is a Clinical Psychologist provider in Burnsville, MN (NPI 1376055665).
Provider details
- NPI number
- 1376055665
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD, LP
- Sex
- Male
- Sole proprietor
- No
- License
- LP6174 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1910 Hennepin AveMinneapolis, MN 55403-3160Phone: (612) 871-2544
- 6 E Diamond Lake RdMinneapolis, MN 55419-1923Phone: (612) 568-6077
Registry dates
- Enumerated
- 2017-10-26
- Last updated
- 2018-03-17
Frequently asked questions
- What is Mark Bertucci's NPI number?
- Mark Bertucci's National Provider Identifier (NPI) is 1376055665, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Bertucci's specialty?
- Mark Bertucci is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Mark Bertucci located?
- Mark Bertucci's practice location on file with NPPES is 675 E Nicollet Blvd Ste 250, Burnsville, MN 55337-6768.
- What is Mark Bertucci's phone number?
- The practice phone number listed in the NPPES registry for Mark Bertucci is (952) 993-3307.
- Does Mark Bertucci accept Medicare?
- Mark Bertucci is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Bertucci's NPI active?
- Yes — Mark Bertucci's NPI (1376055665) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.