Individual provider Active NPI

Deborah Gorton, PHD, LCP

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1336266543
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008428 Issued in IL
Practice address
770 N Halsted St Ste 105
Chicago, IL 60642-7886
Phone
(312) 905-3612
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Psychologist 103TC0700X 071008428 IL Primary

Addresses

Primary practice location

770 N Halsted St Ste 105
Chicago, IL 60642-7886

Mailing address

770 N Halsted St Ste 105
Chicago, IL 60642-7886
Phone (312) 905-3612

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251204002211 IL Practitioner - Clinical Psychologist 3678000726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

770 N Halsted St
Chicago, IL 60642-7886
Phone (312) 626-7401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071008428ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Siv Consultation, LLC CurrentSince Nov 15, 2024 Accepting new patients

Locations

770 N Halsted St
Ste 105
Chicago, IL 60642
Phone (312) 219-3960

1900 S Halsted St
Ste 2F
Chicago, IL 60608

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1336266543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 N HALSTED ST STE 105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606427886",
            "telephone_number": "312-905-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 N HALSTED ST STE 105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606427886",
            "telephone_number": "312-905-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORTON",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "PHD, LCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.