Thomas Gourlay

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

20411 W 12 Mile Rd Ste 101
Southfield, MI 48076-6404

Phone

(866) 703-1901

NPI assigned

Jul 7, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ryan Ursing Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Dr. Lainie Epstein PLLC

  • Psychologist
  • Berkley, MI
  • NPI 1194179572
  NPD

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1417847096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18761 SAN QUENTIN DR",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480763327",
            "telephone_number": "866-703-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20411 W 12 MILE RD STE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766404",
            "telephone_number": "866-703-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOURLAY",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYAN",
            "last_name": "URSING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gage Paul Gorski
• Therese Gorski, MA CCC-SLP
• Stephanie A Gorton, NP
• Christine Gose
• Laynette Goudy-Egger, N.P.
• Tareq Yousef Goussous, M.D.
• Brianna Symone Govan
• Dhruva Govil, DO
• Hema Govil, MD
• Nathan Goymerac, M.D.

• Clinical Social Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.