John Gobby, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071005915 Issued in IL

Practice address

910 Skokie Blvd
Suite 215
Northbrook, IL 60062-4013

Phone

(847) 480-0300

Fax

(847) 291-0576

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Affiliates in Counseling LLCGroup PAC ID 1254478514, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.gobby.3@11074.direct.athenahealth.com

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.

• Affiliates in Counseling LLC

  • Clinical Psychologist
  • Northbrook, IL
  • NPI 1003868472
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1215978341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 SKOKIE BLVD",
            "address_2": "SUITE 215",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624013",
            "telephone_number": "847-480-0300",
            "fax_number": "847-291-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SKOKIE BLVD",
            "address_2": "SUITE 215",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624013",
            "telephone_number": "847-480-0300",
            "fax_number": "847-291-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBBY",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenbrook Dental Associates
• Glenkirk
• Glenkirk
• Sergey Efim Glikin, C-SA
• Matthew B Glombicki, DPT
• Patricia Gobel, LCSW
• Carly Goebel
• Gold Counseling Services, P.C.
• Julie H Gold, LCSW
• Diana Goldak, PHYSICIAN ASSISTANT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.