Gayle Heather Macbride, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP4678 Issued in MN

Practice address

1601 Saint Francis Ave Ste 100
Shakopee, MN 55379-3384

Phone

(952) 428-3535

Fax

(952) 428-3599

NPI assigned

Aug 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 19, 2026 through Jan 19, 2028

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.6 of 100Reported as group

Quality

72.5

Promoting interoperability

100

Improvement activities

40

Cost

77.07

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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 and National Provider Directory roles.

• Allina Health System

  dba Allina Health Annandale Clinic

  • Family Medicine Physician
  • Annandale, MN
  • NPI 1457657249
  NPD

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

{
    "created_epoch": "1188086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1710170428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 FOOTHILL TRL",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553799631",
            "telephone_number": "618-559-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SAINT FRANCIS AVE STE 100",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793384",
            "telephone_number": "952-428-3535",
            "fax_number": "952-428-3599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 Marion St",
            "address_purpose": "LOCATION",
            "city": "Carterville",
            "state": "IL",
            "postal_code": "629185143",
            "country_code": "US",
            "telephone_number": "618-733-4606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACBRIDE",
        "first_name": "GAYLE",
        "middle_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-26",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4678",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmacbride197428@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "1601 Saint Francis Ave Ste 100",
            "city": "Shakopee",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553793384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Selina Loulou
• Judith Lee Loveland
• Emily Catherine Lundeen, LMFT
• George E. Lundgren, MD
• Steven Ly
• Amaka Stella Machie
• Robert Macinnes, LPCC
• Jennifer Jean Mackenthun
• Magan Health Services
• Robert Mahon, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• 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.