Patrick Gunderson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008621 Issued in IL

Practice address

2030 E Algonquin Rd
Suite 401
Schaumburg, IL 60173-4188

Phone

(847) 778-7365

NPI assigned

Dec 6, 2010

Last updated

Jan 10, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Patrick R. Gunderson, PH.D., PLLC

  dba Patrick R. Gunderson, Ph.D.

  • Community/Behavioral Health Agency
  • Schaumburg, IL
  • NPI 1144971300
  NPD Authorized official

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1295038719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 E ALGONQUIN RD",
            "address_2": "SUITE 401",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734188",
            "telephone_number": "847-778-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 E ALGONQUIN RD",
            "address_2": "SUITE 401",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734188",
            "telephone_number": "847-778-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERSON",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-06",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guada Psychological Services PC
• Tianna Guerra
• Britt E Guerrero, ARNP
• Guidestar Eldercare - Il SC (Vanguard Eldercare - Illinois, S.C.)
• Paige Gulbrandsen, MA, BCBA
• Lynda Gundling, OTR
• Earl Edward Gunther Jr., P.T.
• Vipan Kumar Gupta, MD
• Philip Anthony Gurgone, D.D.S.
• Murat Gurz, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.