Individual provider Active NPI

David Gurevitch, MD PHD

  • Psychiatry Physician
  • Bingham Farms, MI
National Provider Identifier
1558321885
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301046562 Issued in MI
Practice address
32270 Telegraph Rd
Ste 240
Bingham Farms, MI 48025-2456
Phone
(248) 593-1717
Fax
(249) 593-1711
NPI assigned
Mar 23, 2006
Last updated
Mar 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301046562 MI Primary

Addresses

Primary practice location

32270 Telegraph Rd
Ste 240
Bingham Farms, MI 48025-2456

Mailing address

32270 Telegraph Rd
Ste 240
Bingham Farms, MI 48025-2456
Phone (248) 593-1717

Other identifiers 1

IdentifierTypeStateIssuer
0636115OtherBCBS

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1558321885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32270 TELEGRAPH RD",
            "address_2": "STE 240",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252456",
            "telephone_number": "248-593-1717",
            "fax_number": "248-593-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32270 TELEGRAPH RD",
            "address_2": "STE 240",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252456",
            "telephone_number": "248-593-1717",
            "fax_number": "249-593-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUREVITCH",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301046562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0636115",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.

Verify at the official NPI Registry.