James P Gustafson, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

18452 Issued in WI

Practice address

509 Virginia Ter
Madison, WI 53726-5347

Phone

(608) 445-6503

NPI assigned

Feb 28, 2006

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jgustafson27405@direct.uwhealth.org

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1710953716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 VIRGINIA TER",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537265347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 VIRGINIA TER",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537265347",
            "telephone_number": "608-445-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "18452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgustafson27405@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "6001 Research Park Blvd",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristen Marie Gurney, PHARM.D.
• Molly A Gurney, MD
• Laura Mae Guse
• Megan Elizabeth Gussick, M.D.
• Daniel T Gustafson, PHD
• James Richard Gustafson, MD
• Karin Elizabeth Gustafson, CNM
• Nancy P Gustafson, CRNA
• Nathanael Gustafson
• Nicole Gustafson, CAA

• Psychiatry Physician in Madison, WI
• Providers in Madison, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.