Brian Gatheridge, PHD
NPI 1043465644 · Psychologist · Detroit Lakes, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brian Gatheridge, PHD is a Psychologist provider in Detroit Lakes, MN (NPI 1043465644).
Provider details
- NPI number
- 1043465644
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
83% 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
Mailing address
Registry dates
- Enumerated
- 2008-11-24
- Last updated
- 2022-04-04
- Certified
- 2022-04-04
Frequently asked questions
- What is Brian Gatheridge's NPI number?
- Brian Gatheridge's National Provider Identifier (NPI) is 1043465644, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brian Gatheridge's specialty?
- Brian Gatheridge is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Brian Gatheridge located?
- Brian Gatheridge's practice location on file with NPPES is 1245 Washington Ave, Detroit Lakes, MN 56501-3905.
- What is Brian Gatheridge's phone number?
- The practice phone number listed in the NPPES registry for Brian Gatheridge is (218) 846-2000.
- Does Brian Gatheridge accept Medicare?
- Brian Gatheridge is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brian Gatheridge's NPI active?
- Yes — Brian Gatheridge's NPI (1043465644) is active in the NPPES registry as of the last update on 2022-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.