Bonnie Jean Gorscak, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS-008104L Issued in PA

Practice address

128 N. Craig St.
Suite 211-C
Pittsburgh, PA 15213-2758

Phone

(412) 683-1667

Fax

(412) 243-8319

NPI assigned

Oct 3, 2006

Last updated

Nov 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1700970399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 N. CRAIG ST.",
            "address_2": "SUITE 211-C",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132758",
            "telephone_number": "412-683-1667",
            "fax_number": "412-243-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N. CRAIG ST.",
            "address_2": "SUITE 211-C",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132758",
            "telephone_number": "412-683-1667",
            "fax_number": "412-243-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORSCAK",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-008104L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk Gornick, PHARMD
• Tanner Gornick, DMD
• Elaine Gray Gorr, PH.D.
• Timothy Scott Gorrill, M.D., PH.D.
• Eileen Gorry, M.D.
• Tad Gorske
• Amanda Gorsky, OTD, OTR/L
• Stephanie Gorsuch, LCSW
• Marissa Gorvet, DO
• Sarah Lynn Gorzelsky, MSPC

• Clinical Psychologist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.