GARY EDWARD HERTOG PSY.D.
NPI 1710074208
Psychologist - Clinical in Red Wing, MN

Q: What is Gary Hertog's NPI number?

The NPI number for Gary Hertog is 1710074208. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Q: What is Gary Hertog'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 Gary Hertog was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 October 06, 2006

426 WEST AVE, RED WING, MN 55066(651) 385-6180(651) 385-6195 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Gary Edward Hertog Psy.d. NPPES

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

GARY EDWARD HERTOG PSY.D. (NPI 1710074208) is an individual clinical provider in Red Wing, Minnesota, licensed in Minnesota (3783) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1710074208

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameGARY EDWARD HERTOGCredential: PSY.D.

Location Address426 WEST AVERed Wing, MN 55066-2473

Mailing Address426 West AveRed Wing, MN 55066-2473 · (651) 385-6180 · Fax (651) 385-6195

Phone(651) 385-6180

Fax(651) 385-6195

Sole ProprietorYes

Enumeration DateOctober 6, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1710074208 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 · 3783

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.

426 WEST AVE, Red Wing, MN 55066

Open in Google Maps ↗

Other Providers at the Same Location NPPES 15

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

TIMOTHY MAHONEY MSW, LICSW

Social Worker (Clinical)