Van Mark Gemmell, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP5177 Issued in MN

Practice address

7101 York Ave S Ste 365
Edina, MN 55435-7500

Phone

(612) 703-4293

Fax

(612) 314-8212

NPI assigned

Dec 8, 2009

Last updated

Jun 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bridges and Pathways Counseling Services Inc.Group PAC ID 2264776269, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bridges and Pathways Counseling Services Inc.

  • Clinical Social Worker
  • Forest Lake, MN
  • NPI 1801929914
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1457680266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 LAKE ST S STE 109",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252633",
            "telephone_number": "651-982-4792",
            "fax_number": "612-314-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 YORK AVE S STE 365",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357500",
            "telephone_number": "612-703-4293",
            "fax_number": "612-314-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMMELL",
        "first_name": "VAN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-08",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geeta Sukhani PLLC
• Elizabeth Geiger, OTR/L
• Madison Marie Geislinger
• Mark A Geist, MD
• Sena Usman Geleto
• Bruce Roger Gendron, MD
• Genoa Healthcare LLC
• Shawn Marie Gentz, CRNA
• Gerald D. Cavanaugh & William F. Liljemark (Edina Orthodontic Associates)
• Christa L Gerber, MSW, LICSW

• Clinical Psychologist in Edina, MN
• Providers in Edina, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.