Active NPI
David N. Gershan, PSY.D.
- Clinical Psychologist
- Skokie, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071009143
- Practice address
- 8053 Kolmar Ave
Skokie, IL 60076-3114 - Phone
- (847) 867-7924
- NPI assigned
- Aug 14, 2012
- Last updated
- Apr 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071009143 | IL | Primary |
Addresses
Primary practice location
8053 Kolmar Ave
Skokie, IL 60076-3114
Mailing address
8053 Kolmar Ave
Skokie, IL 60076-3114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071009143 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitae Health Medical Illinois, PLLC | Current | Accepting new patients | |
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Davken Associates, P.C. | Clinical | Current | Accepting new patients |
| CS Pacs 3 Il, S.C. | Current | Accepting new patients | |
| Illinois Post-Acute Medical Services 1 PC | Current | Accepting new patients | |
| CS Pacs 3 Midwest LLC | Current | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
2829 S California Ave
Chicago, IL 60608
Phone (646) 431-0013
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
66 W Oak St
Chicago, IL 60610
Phone (312) 337-5400
600 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 325-9630
1055 E Grand Ave
Lindenhurst, IL 60046
Phone (847) 356-4559
1666 Checker Rd
Long Grove, IL 60047
Phone (847) 419-1111
1006 N Lowden Rd
Mount Carroll, IL 61053
Phone (815) 244-7715
720 Raymond Dr
Naperville, IL 60563
Phone (630) 355-0220
6930 W Touhy Ave
Niles, IL 60714
Phone (847) 588-5311
1001 N Greenwood Ave
Park Ridge, IL 60068
Phone (847) 685-2805
612 W Saint Marys Rd
Sterling, IL 61081
Phone (815) 626-9020
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Park Ridge, IL
- NPI 1598577124
-
- Clinical Psychologist
- Deerfield, IL
- NPI 1457393159
-
- Hospitalist Physician
- Hinsdale, IL
- NPI 1952830853
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1174013452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1770830275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8053 KOLMAR AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600763114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8053 KOLMAR AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600763114",
"telephone_number": "847-867-7924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSHAN",
"first_name": "DAVID",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-14",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071009143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.