Linda K Gustafson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

8170 MC Cormick Blvd
C/O Davken #204
Skokie, IL 60076-2920

Phone

(847) 673-0718

Fax

(847) 673-0875

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Linda K Gustafson Professional name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Davken Associates, P.C.Group PAC ID 8820901861, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Davken Associates, P.C.

  • Clinical Psychologist
  • Deerfield, IL
  • NPI 1457393159
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154426922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 MC CORMICK BLVD",
            "address_2": "C/O DAVKEN #204",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762920",
            "telephone_number": "847-673-0718",
            "fax_number": "847-673-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 MC CORMICK BLVD",
            "address_2": "C/O DAVKEN #204",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762920",
            "telephone_number": "847-673-0718",
            "fax_number": "847-673-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "LINDA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "GUSTAFSON",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jasmine Jenine Gulley Brown, IAMFT
• Nikita Sarath Gummadi, FNP-BC
• Julia Gunina
• Chander Gupta, DMD
• Mikhail Gurovich, PHD, MPH, CADC, MISA
• Gustavson & Robbins DDS, LTD
• Gary Gustavson, D.D.S.
• Miriam Bette Gutmann, M.D.
• Daniel A Gutstein, MD
• Francine Sheryl Gutstein, LCSW

• Clinical Psychologist in Skokie, IL
• Providers in Skokie, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.