BRIAN J GATHERIDGE PHD
NPI 1043465644
Psychologist in Detroit Lakes, MN

Active since November 24, 2008PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
1245 WASHINGTON AVE, DETROIT LAKES, MN 56501(218) 846-2000 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 4, 2022, May 28, 2019 (2 updates tracked since 2019).

About Brian J Gatheridge Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN J GATHERIDGE PHD (NPI 1043465644) is an individual psychologist in Detroit Lakes, Minnesota, licensed in Minnesota (LP4970) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1043465644
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameBRIAN J GATHERIDGECredential: PHD
Location Address1245 WASHINGTON AVEDetroit Lakes, MN 56501-3905
Mailing Address1219 S. Washington AveDetroit Lakes, MN 56501-3905 · (218) 846-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 24, 2008
Last NPPES UpdateApril 4, 20222 updates tracked since enumeration
NPPES CertifiedApril 4, 2022
NPI 1043465644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP4970
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
1245 WASHINGTON AVE, Detroit Lakes, MN 56501

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brian J Gatheridge Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385707165
PECOS Enrollment IDI20090106000627
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1245 WASHINGTON AVE
DETROIT LAKES, MN 56501
Internal Medicine
1245 WASHINGTON AVE
DETROIT LAKES, MN 56501
Pharmacy (Community/Retail Pharmacy)
1245 WASHINGTON AVE
DETROIT LAKES, MN 56501
Nurse Practitioner
1245 WASHINGTON AVE
DETROIT LAKES, MN 56501
Psychologist (Psychoanalysis)
1245 WASHINGTON AVE
DETROIT LAKES, MN 56501
Internal Medicine
1245 WASHINGTON AVE
DETROIT LAKES, MN 56501
Dietitian, Registered
1245 WASHINGTON AVE
DETROIT LAKES, MN 56501
Psychologist (Psychoanalysis)
1245 WASHINGTON AVE
DETROIT LAKES, MN 56501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Gatheridge's NPI number?

The NPI number for Brian Gatheridge is 1043465644. It was assigned to this individual provider in the NPPES registry on November 24, 2008.

Where is Brian Gatheridge located?

Brian Gatheridge practices at 1245 Washington Ave, Detroit Lakes, MN 56501. The listed phone number is (218) 846-2000.

What is Brian Gatheridge's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Brian Gatheridge enrolled in Medicare?

Yes. Brian Gatheridge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brian Gatheridge accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners, Sanford Health Plan and Security Health Plan list Brian Gatheridge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Gatheridge was last updated on April 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.