Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477538247 Individual Practitioner Female Practitioner

Heather Gallivan

Psychologist • Minneapolis, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Heather Gallivan is a certified Psychologist practicing in Minneapolis, MN. With approximately 24 years of clinical experience since completing medical education in 2002, Heather Gallivan delivers high-quality medical care to the local community at 6490 EXCELSIOR BLVD.

Heather Gallivan is affiliated with Park Nicollet Clinic and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

6490 Excelsior Blvd
Suite W505

Minneapolis, MN 554264705

Telephone 9529936200
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Minneapolis, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +6.6 yrs vs City Avg
City Avg: 17.4 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
352 Specialists

Practicing in Minneapolis, MN (1833 Statewide)

Telehealth Adoption Rate
12.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gallivan (24 Years) 24 Yrs
Minneapolis Specialty Average (17.4 Years) 17.4 Yrs

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP4521

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.

Hospital & Practice Group Affiliations

Park Nicollet Clinic

5320 Hyland Greens Dr, Bloomington, MN 554373934

Phone: 9529932400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Samantha Slinger

Occupational Therapist

NPI 1003440371
Tyann Zeal , RD, LD

Dietitian, Registered

NPI 1023480712

Registered Dietitian, Licensed Dietitian

Jacquelyn Warner , RD

Dietitian, Registered

NPI 1023483757

Registered Dietitian

Dr. Scott Hanneman , PhD, LP

Psychologist - Clinical

NPI 1043608037

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Elizabeth Christopherson

Dietetic Technician, Registered

NPI 1053570580
Mary Vanderloop

Psychologist

NPI 1083690606

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 6490 EXCELSIOR BLVD, SUITE W505, MINNEAPOLIS, MN 554264705 (Tel: 9529936200)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6465 WAYZATA BLVD, SUITE 315, ST LOUIS PARK, MN 554261728

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as HEATHER GALLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #LP4521 in MN)

🟢
Initial NPI Registration & Enumeration December 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477538247
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

6465 Wayzata Blvd, Suite 315

St Louis Park, MN 554261728

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.