SCOTT DAVID GULDSETH (PHD, LP) – Psychologist, NPI 1497833958

SCOTT DAVID GULDSETH (PHD, LP) is a healthcare provider. based in Saint paul, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD, LP. They hold a License No. LP4620 (MN). The NPI Number for SCOTT DAVID GULDSETH (PHD, LP) is 1497833958

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT DAVID GULDSETH (PHD, LP)
NPI
1497833958
Phone
(651) 644-8515
Address
1821 UNIVERSITY AVE W
Enumeration Date
1 November 2006
Last Update Date
1 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529996097
Graduation Year
2002 (24 years ago)
PAC ID
1153720412
Group Practice PAC ID
4880987114
Professional Enrollment ID
I20210519001337
Address ID
MN553439447MI12301DRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

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Provider Addresses for SCOTT DAVID GULDSETH (PHD, LP)

  • 1821, University Avenue West, Saint Paul, Ramsey County, Minnesota, 55104, United States

    SUITE N385

    SAINT PAUL, MN 551042801

    Phone: (651) 644-8515

    Fax: (651) 644-3451

    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: 2021-05-19

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
I20210519001337IClinical 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 55104)

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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: 4880987114View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for SCOTT DAVID GULDSETH (PHD, LP)?
SCOTT DAVID GULDSETH (PHD, LP) — NPI 1497833958 — is the standard way to identify this listing.
Does CMS list SCOTT DAVID GULDSETH (PHD, LP) as active?
Yes — SCOTT DAVID GULDSETH (PHD, LP) is active in the NPI listing used on this page.
What taxonomy line describes SCOTT DAVID GULDSETH (PHD, LP)?
For research purposes, treat SCOTT DAVID GULDSETH (PHD, LP) as Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Does SCOTT DAVID GULDSETH (PHD, LP) list a practice location?
Patients near Saint Paul, Minnesota may find SCOTT DAVID GULDSETH (PHD, LP) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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