DR. JOHN GATERMANN (PSYD) – Psychologist, NPI 1043792666

DR. JOHN GATERMANN (PSYD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. LP6278 (MN). The NPI Number for DR. JOHN GATERMANN (PSYD) is 1043792666

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN GATERMANN (PSYD)
NPI
1043792666
Phone
(612) 543-3794
Address
1313 PENN AVE N
Enumeration Date
30 August 2018
Last Update Date
30 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6125432500
Graduation Year
2016 (10 years ago)
PAC ID
6901144682
Group Practice PAC ID
7911892849
Professional Enrollment ID
I20190206000093
Address ID
MN554113047MI1313XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

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Provider Addresses for DR. JOHN GATERMANN (PSYD)

  • Northpoint Health & Wellness Center, 1313, Penn Avenue North, Bryn Mawr, Minneapolis, Hennepin County, Minnesota, 55411, United States

    MINNEAPOLIS, MN 554113047

    Phone: (612) 543-3794

    Fax: (612) 302-4872

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190206000093IClinical PsychologistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55411)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911892849View full group profile
NameSpecialtyState
Clinical PsychologistMN
Nurse PractitionerMN
Clinical PsychologistMN
Mental Health CounselorMN
Infectious DiseaseMN
Mental Health CounselorMN
-MN
Nurse PractitionerMN
-MN
-MN

Reviews

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Frequently asked questions

How is DR. JOHN GATERMANN (PSYD) identified in CMS data?
CMS-hosted NPPES data lists DR. JOHN GATERMANN (PSYD) with NPI 1043792666.
Is DR. JOHN GATERMANN (PSYD) still practicing?
DR. JOHN GATERMANN (PSYD) is currently listed as active in the public NPI registry.
What is DR. JOHN GATERMANN (PSYD)'s specialty?
The listing groups DR. JOHN GATERMANN (PSYD) with Psychologist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JOHN GATERMANN (PSYD) on a map?
Expect Minneapolis, Minnesota as a primary anchor for DR. JOHN GATERMANN (PSYD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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