ROSS E GUBRUD PHD
NPI 1285166355
Psychologist - Clinical in Saint Paul, MN

Q: What is Ross Gubrud's NPI number?

The NPI number for Ross Gubrud is 1285166355. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Q: What is Ross Gubrud's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Ross Gubrud was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 29, 2017

1821 UNIVERSITY AVE W STE 461-9, SAINT PAUL, MN 55104(612) 421-3178(612) 421-3183 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 15, 2024, Jan 7, 2022, Jul 30, 2021 and 1 more (4 updates tracked since 2017).

On this page

About Ross E Gubrud Phd NPPES

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

ROSS E GUBRUD PHD (NPI 1285166355) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (LP5984) and active in the NPI registry since March 2017. He maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1285166355

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameROSS E GUBRUDCredential: PHD

Location Address1821 UNIVERSITY AVE W STE 461-9Saint Paul, MN 55104-2801

Mailing Address3501 Xenium Ln N Apt 123Minneapolis, MN 55441-2222 · (612) 421-3178 · Fax (612) 421-3183

Phone(612) 421-3178

Fax(612) 421-3183

Sole ProprietorNo

Enumeration DateMarch 29, 2017

Last NPPES UpdateAugust 15, 20244 updates tracked since enumeration

NPPES CertifiedAugust 15, 2024

✔ NPI 1285166355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP5984

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1821 UNIVERSITY AVE W STE 461-9, Saint Paul, MN 55104

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Secondary Practice Location 1

Location 13501 Xenium Ln N Apt 123Minneapolis, MN 55441-2222 · Phone (126) 421-3187

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ross E Gubrud Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Ross Gubrud reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bewell Psychotherapy PLLC

0.2 mi

Psychologist

1821 UNIVERSITY AVE W STE 461-9
Saint Paul, MN 55104

Reassigned Medicare billing, Minnesota enrollment

NPI 1346819307 (612) 421-3178

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

BEWELL PSYCHOTHERAPY PLLC

Psychologist

1821 UNIVERSITY AVE W STE 461-9
SAINT PAUL, MN 55104

Ramsey County (612) 421-3178

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 Ross Gubrud's NPI number?

The NPI number for Ross Gubrud is 1285166355. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Ross Gubrud located?

Ross Gubrud practices at 1821 University Ave W Ste 461-9, Saint Paul, MN 55104. The listed phone number is (612) 421-3178.

What is Ross Gubrud's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ross Gubrud enrolled in Medicare?

Yes. Ross Gubrud is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ross Gubrud's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ross Gubrud reassigns Medicare benefits to Bewell Psychotherapy PLLC (Saint Paul, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ross Gubrud's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ross Gubrud was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.