Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gayle Heather Macbride, PHD

Individual provider Clinical Psychologist · NPI 1710170428

Dr. Gayle Heather Macbride, PHD is a Clinical Psychologist in Shakopee, Minnesota. Qualified in 2004, 22 years ago. Works from 2 locations and offers telehealth. Licensed in Illinois and Minnesota.

Years since qualifying
22
Licensed in
IL, MN
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1601 Saint Francis Ave Ste 100
Shakopee, MN 55379-3384
Phone: (952) 428-3535
Fax: (952) 428-3599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1504 Marion St, Carterville, IL 62918-5143 — (618) 733-4606

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP4678 (MN)
Clinical Psychologist Taxonomy 103TC0700X · Licence 071.007318 (IL)

Record details

NPI number1710170428
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 26, 2007
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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