IndividualActive
Gary Wallinga, PHD LP
NPI 1043260110 · Clinical Child & Adolescent Psychologist · Saint Cloud, MN
Provider details
- NPI number
- 1043260110
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD LP
- Sex
- Male
- License
- LP2053 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1900 Centracare Cir
Suite 1325
Saint Cloud, MN 56303-5000
Phone: (320) 255-5796
Fax: (320) 229-5179
Street-level locationGet directions
Mailing address
1406 6th Ave N
Saint Cloud, MN 56303-1900
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.