Gary M Durak, PH D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20090233A Issued in IN

Practice address

7 Napoleon St
Valparaiso, IN 46383-4725

Phone

(219) 464-7678

Fax

(219) 464-0941

NPI assigned

Jun 20, 2006

Last updated

Jun 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Clinical Psychologist

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurology and Pain Management Associates PCGroup PAC ID 4486676095, 86 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.06 of 100Reported as group

Quality

80.07

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Neurology and Pain Management Associates PC

  dba GuideStar Eldercare

  • Internal Medicine Physician
  • Crown Point, IN
  • NPI 1518900620

  Clinical

  Medicare reassignment Care Compare group NPD
• Gary M. Durak, PH.D., P.C.

  • Clinical Psychologist
  • Valparaiso, IN
  • NPI 1821249079
  Authorized official Same address or phone
• Mary M. Kennedy, PSYD LLC

  • Clinical Psychologist
  • Valparaiso, IN
  • NPI 1730490574
  NPD (past)
• Bridgman Psychological Partners PLC

  • Psychologist
  • Stevensville, MI
  • NPI 1053589036
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370649600000",
    "number": "1609812767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 NAPOLEON ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834725",
            "telephone_number": "219-464-7678",
            "fax_number": "219-464-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 NAPOLEON ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834725",
            "telephone_number": "219-464-7678",
            "fax_number": "219-464-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAK",
        "first_name": "GARY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2013-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20090233A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "P57840001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Dudrey, LCSW
• Duneland Dermatology
• Dunes Dental Studio, LLC
• Dunes Family Clinic
• Dunes Hospice LLC
• Kennedi Durham
• Hannah Duszynski
• Melissa Joy Dutcher, MA, LMHC
• Dycora Transitional Health - Valparaiso LLC
• Kasey Jean Dyer, PTA

• Clinical Psychologist in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.