Edward Gogek, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

20148 Issued in AZ

Practice address

315G S. Cortez St
Prescott, AZ 86303

Phone

(928) 443-0032

NPI assigned

Aug 26, 2006

Last updated

Dec 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, WA, MI, NY4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Psychiatry

Education

Illinois Medical College, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Palouse River Counseling CenterGroup PAC ID 5698768331, 12 clinicians

Allegany Rehabilitation Associates, Inc.Group PAC ID 6406846724, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allegany Rehabilitation Associates, Inc.

  dba Clarity Wellness Community

  • Community/Behavioral Health Agency
  • Wellsville, NY
  • NPI 1720004633
  Medicare reassignment Care Compare group NPD
• Palouse River Counseling Center

  dba Palouse River Counseling

  • Community/Behavioral Health Agency
  • Pullman, WA
  • NPI 1063486272
  Medicare reassignment Care Compare group NPD
• Catholic Charities of Ingham, Eaton & Clinton Counties

  • General Practice Physician
  • Lansing, MI
  • NPI 1407800931
  Medicare reassignment NPD
• Changepoint Integrated Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Holbrook, AZ
  • NPI 1205877610
  Medicare reassignment
• Allegany Rehabilitation Associates, Inc

  dba Clarity Wellness Community

  • Community/Behavioral Health Agency
  • Warsaw, NY
  • NPI 1215955083
  NPD
• Allegany Rehabilitation Associates, Inc

  dba Clarity Wellness Community

  • Community/Behavioral Health Agency
  • Wellsville, NY
  • NPI 1295740512
  NPD
• Changepoint Integrated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Show Low, AZ
  • NPI 1952343444
  NPD (past)
• Cristo Rey Community Center

  • Addiction (Substance Use Disorder) Counselor
  • Lansing, MI
  • NPI 1700901964
  NPD (past)

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1124136627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13086",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863043086",
            "telephone_number": "928-443-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315G S. CORTEZ ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86303",
            "telephone_number": "928-443-0032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 N High St",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489064597",
            "country_code": "US",
            "telephone_number": "517-372-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOGEK",
        "first_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301055676",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "179676",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "00031786",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "20148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Kay Glann, ACNP-BC
• Kenneth Glass, D.D.S.
• Jennifer Goddard, M.D.
• Susan Elizabeth Godman, N.M.D.
• Cacie Lee Goetz-Campos, MSN, FNP-C
• Joseph H Goldberger, MD
• Golden Ratio Health PLLC (Pine Grove Acupuncture)
• Kathleen Marie Golden, LPC
• Megan Lindsey Goldenstein, PHARMD
• Courtney Marie Goler

• Psychiatry Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.