Gary M. Durak, PH.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20090233A Issued in IN

Legal business name

GARY M. DURAK, PH.D., P.C.

Practice address

307 Jefferson St
Valparaiso, IN 46383-4823

Phone

(219) 464-7678

Fax

(219) 462-8351

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gary M. Durak, PH.D.

Title

Clinical Psychologsit

Phone

(219) 464-7678

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary M Kennedy, PSYD HSPP

  • Clinical Psychologist
  • Valparaiso, IN
  • NPI 1912162553
  NPD (past)
• Bettyann Lichtenstein, MA

  • Marriage & Family Therapist
  • Valparaiso, IN
  • NPI 1396793220
  NPD (past)

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1821249079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 JEFFERSON ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834823",
            "telephone_number": "219-464-7678",
            "fax_number": "219-462-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 JEFFERSON ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834823",
            "telephone_number": "219-464-7678",
            "fax_number": "219-462-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY M. DURAK, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "DURAK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGSIT",
        "authorized_official_telephone_number": "219-464-7678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20090233A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100298960A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rod Gardin, PH.D.
• Mimi Elizabeth Gardner
• Michael Edward Gariup, DMD
• Sudhakar Garlapati, M.D.
• Darryl Garrett
• Gary Tennant DC
• Jacqueline M Gasparovic, MSW, LCSW
• Derek Scott Gasper, D.O
• Jeffrey Gatch, MSW
• Rachel Gatlin, LCSW

• 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 Sep 24, 2009; 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.