Active NPI
Rob Gushurst, PH.D.
- Clinical Psychologist
- Fredericksburg, VA
National Provider Identifier
1235182742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810000628
- Practice address
- 1011 Clearview Ave
Fredericksburg, VA 22405-1919 - Phone
- (540) 371-3940
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810000628 | VA | Primary |
Addresses
Primary practice location
1011 Clearview Ave
Fredericksburg, VA 22405-1919
Mailing address
1011 Clearview Ave
Fredericksburg, VA 22405-1919
Phone (540) 371-3940
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62638 | Other | VA | UNITHE HEALTH CARE |
| 62638 | Other | VA | VALUE OPTIONS |
| 0030590000 | Other | VA | MAGELLAN |
| 1553334 | Other | VA | CIGNA HEALTH CARE |
| 1051829 | Other | VA | CIGNA BEH HEALTH |
| 274305 | Other | VA | ANTHEM |
| 6131524 | Other | VA | UNITED BEH HEALTH |
| 7755261 | Medicaid | VA |
Other names 1
- Robin Stewart Gushurst
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203206400000",
"number": "1235182742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 CLEARVIEW AVE",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224051919",
"telephone_number": "540-371-3940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 CLEARVIEW AVE",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224051919",
"telephone_number": "540-371-3940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSHURST",
"first_name": "ROB",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2008-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810000628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITHE HEALTH CARE",
"identifier": "62638",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "62638",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "0030590000",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH CARE",
"identifier": "1553334",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEH HEALTH",
"identifier": "1051829",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "274305",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEH HEALTH",
"identifier": "6131524",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7755261",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBIN",
"last_name": "GUSHURST",
"middle_name": "STEWART",
"credential": "PH.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.