Individual provider Active NPI

David N. Gershan, PSY.D.

  • Clinical Psychologist
  • Skokie, IL
National Provider Identifier
1770830275
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009143 Issued in IL
Practice address
8053 Kolmar Ave
Skokie, IL 60076-3114
Phone
(847) 867-7924
NPI assigned
Aug 14, 2012
Last updated
Apr 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151102002470 IL Practitioner - Clinical Psychologist 0547570681 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071009143ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC CurrentSince Jul 27, 2021 Accepting new patients
NV Pacs 2 LLC CurrentSince May 30, 2023 Accepting new patients
Davken Associates, P.C. Clinical CurrentSince Sep 28, 2015 Accepting new patients
CS Pacs 3 Il, S.C. CurrentSince Feb 1, 2025 Accepting new patients
Illinois Post-Acute Medical Services 1 PC CurrentSince May 30, 2023 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Aug 1, 2024 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.

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

Verify at the official NPI Registry.