Edwin V. Gumapas M.D. PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036084823 Issued in IL

Legal business name

EDWIN V. GUMAPAS M.D. PC

Practice address

44 N Virginia St
Suite 2B
Crystal Lake, IL 60014-4106

Phone

(815) 356-0475

Fax

(815) 356-0796

NPI assigned

Jul 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Dawn Thomas

Title

Office Manager

Phone

(815) 356-0475

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edwin Vera Gumapas, MD

  • Psychiatry Physician
  • Crystal Lake, IL
  • NPI 1033101092
  Medicare reassignment NPD
• Aleksandar Kondic, M.D.

  • Behavioral Neurology & Neuropsychiatry Physician
  • Schaumburg, IL
  • NPI 1265532766
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1114126000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 N VIRGINIA ST",
            "address_2": "SUITE 2B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144106",
            "telephone_number": "815-356-0475",
            "fax_number": "815-356-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 N VIRGINIA ST",
            "address_2": "SUITE 2B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144106",
            "telephone_number": "815-356-0475",
            "fax_number": "815-356-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN V. GUMAPAS M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-356-0475",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036084823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony J Ebel, D.C.
• Ech Counseling PLLC
• Monica Kay Eckles, COTA/L
• Amy Eddy, LCSW
• Christa M Edwards, MD
• Effective Solutions in Counseling LLC
• Stephanie Egan, PT, DPT, LMT
• Gilbert N Egekeze, MD
• Tracy Ann Egge, OTR/L
• Rachel Ehlers, DDS

• Psychiatry Physician in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.