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DR. GAYLE HEATHER MACBRIDE PH.D.
NPI 1710170428
Psychologist - Clinical in Shakopee, MN

Active since August 26, 2007Opted out of Medicare · through Apr 1, 2028
83.53/100
CMS Quality Rating
1601 SAINT FRANCIS AVE STE 100, SHAKOPEE, MN 55379(952) 428-3535(952) 428-3599 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2021, Aug 19, 2020 (2 updates tracked since 2020).

About Dr. Gayle Heather Macbride Ph.d. NPPES

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

DR. GAYLE HEATHER MACBRIDE PH.D. (NPI 1710170428) is an individual clinical provider in Shakopee, Minnesota, licensed in Minnesota (LP4678) and active in the NPI registry since August 2007. She has opted out of Medicare through April 1, 2028, maintains a secondary practice location in Carterville, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1710170428
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GAYLE HEATHER MACBRIDECredential: PH.D.
Location Address1601 SAINT FRANCIS AVE STE 100Shakopee, MN 55379-3384
Mailing Address1870 Foothill TrlShakopee, MN 55379-9631 · (618) 559-6836
Phone(952) 428-3535
Fax(952) 428-3599
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 26, 2007
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
✔ NPI 1710170428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in MN · LP4678✔ Licensed in IL · 071.007318
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.
1601 SAINT FRANCIS AVE STE 100, Shakopee, MN 55379
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Secondary Practice Location 1

Location 11504 Marion StCarterville, IL 62918-5143 · Phone (618) 733-4606

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Gayle Heather Macbride Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

DR. NEEL SHAILENDRA JOSHI M.D.
Surgery
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Scott County (952) 428-3535
LAUREN BENOLKIN C.N.P.
Nurse Practitioner (Psychiatric/Mental Health)
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Scott County (952) 428-3535
ELIZABETH MAUREEN KENNEDY LALIBERTE PA-C
Physician Assistant
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Scott County (952) 403-3535
DR. MICHAEL REITZ D.O.
Psychiatry & Neurology (Psychiatry)
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Scott County (952) 428-3535
HILARY BREEDON NP
Nurse Practitioner (Psychiatric/Mental Health)
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Scott County (952) 428-3535
MIEN HAI NGUYEN D.O.
Internal Medicine
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Scott County (952) 428-3535
MRS. ASHLEY M THOMPSON FNP-C
Nurse Practitioner (Family)
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Scott County (524) 283-5359
ELIZABETH ANNA HOLMQUIST CNP
Nurse Practitioner (Family)
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Scott County (952) 428-3535

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 Gayle Macbride's NPI number?

The NPI number for Gayle Macbride is 1710170428. It was assigned to this individual provider in the NPPES registry on August 26, 2007.

Where is Gayle Macbride located?

Gayle Macbride practices at 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379. The listed phone number is (952) 428-3535.

What is Gayle Macbride's specialty?

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

Is Gayle Macbride enrolled in Medicare?

No. Gayle Macbride has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Gayle Macbride was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.