Henry Gursky

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS005634L Issued in PA

Practice address

1011 Brookside Rd Ste 302
Allentown, PA 18106-9042

Phone

(610) 704-9328

NPI assigned

May 5, 2016

Last updated

May 23, 2019By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1447606744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 SPRINGHOUSE RD APT G",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044697",
            "telephone_number": "610-704-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BROOKSIDE RD STE 302",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069042",
            "telephone_number": "610-704-9328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1917 Dartford Rd",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180155231",
            "country_code": "US",
            "telephone_number": "610-704-9328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GURSKY",
        "first_name": "HENRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005634L",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PS005634L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034854360001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J. Gullotti
• Prabhakar Reddy Gundappu Reddy, MD
• Pamela Renita Gunn, MD
• Ranju Gupta
• Ruchi Gupta, M.D.
• Gayathri Gurumurthy, MD
• Anthony J Gust, M.D.
• Diana Gustafson, CRNA
• Kristina Guth, DPT
• Justin Lyons Guthier, D.O.

• Psychologist in Allentown, PA
• Providers in Allentown, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.