Gayle Heather Macbride, PH.D.
NPI 1710170428ActiveIndividual· Psychologist, Clinical· Shakopee, MN
Opted out of Medicare from January 2026 to January 2028. Psychologist, Clinical (PH.D.) in Shakopee, Minnesota, licensed in MN and IL, with an NPI issued in August 2007. Medicare paid $8,181 for services to 15 patients in 2024.
Overview
| NPI | 1710170428 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Aug 26, 2007 |
| Last updated in NPPES | Mar 11, 2021 |
| Certified by provider | Mar 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | LP4678 | MN |
| Psychologist, Clinical | 103TC0700X | 071.007318 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jan 19, 2026 – Jan 19, 2028 |
| Can order and refer | No |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 113 across 4 procedure codes |
| Paid by Medicare | $8,181 |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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