Nicholas Gammello
Psychologist β’ Brainerd, MN
18510 State Highway 371 Ste D
Brainerd, MN 564016996
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
18510 State Highway 371 Ste D
Brainerd, MN 564016996
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Psychologist: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Nicholas Gammello has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Brainerd and Minnesota
9 active clinicians are listed under Psychologist with a practice address in Brainerd, MN (1,694 in Minnesota).
Addresses are self-reported to NPPES and may be out of date.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-11-19NUCC Taxonomy Code: 103T00000X
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PSYCHOLOGIST BILLING INDEPENDENTLY
I20250115002223
MN
5890107056
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 18510 STATE HIGHWAY 371 STE D, BRAINERD, MN 564016996 (Tel: 2188384209)
Registered at 11636 FAIRWAY RD, EAST GULL LAKE, MN 564012099 (Tel: 2188384209)
Registered at 7251 EXCELSIOR RD, BAXTER, MN 56425 (Tel: 2184540878)
Registered at PO BOX 2506, BAXTER, MN 564252506
NPI status registered as active in NPPES database
Registered at 14275 GOLF COURSE DR., 160, BAXTER, MN 56425 (Tel: 2188281028)
Registered at 11636 FAIRWAY RD, EAST GULL LAKE, MN 564012099
Recorded as NICHOLAS GAMMELLO
Psychologist (license number reported to NPPES: MN 1437)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
11636 Fairway Rd
East Gull Lake, MN 564012099
Phone: 2188384209