David Gurevitch MD PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

DG046562 Issued in MI

Legal business name

DAVID GUREVITCH MD PC

Practice address

32270 Telegraph Rd
Suite 240
Bingham Farms, MI 48025-2456

Phone

(248) 593-1717

Fax

(248) 593-1711

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Miranda Maciag

Title

Medical Billing Manager

Phone

(248) 593-1717

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manuel Dumlao, MD

  • Psychiatry Physician
  • Dearborn, MI
  • NPI 1184683856
  NPD (past)
• Raya Goldenberg, LMSW ACSW

  • Clinical Social Worker
  • Troy, MI
  • NPI 1649458266
  NPD (past)
• Madhu C Jagadish, P.A.C.

  • Physician Assistant
  • Bloomfield Hills, MI
  • NPI 1679585343
  NPD (past)
• Marcia Kopacz, BSN,MSN,CNP

  • Nurse Practitioner
  • Bingham Farms, MI
  • NPI 1366512634
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1871635607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32270 TELEGRAPH RD",
            "address_2": "SUITE 240",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252456",
            "telephone_number": "248-593-1717",
            "fax_number": "248-593-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32270 TELEGRAPH RD",
            "address_2": "SUITE 240",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252456",
            "telephone_number": "248-593-1717",
            "fax_number": "248-593-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GUREVITCH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "MACIAG",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
        "authorized_official_telephone_number": "248-593-1717"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "DG046562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0636115",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kailey Daugherty
• Jessica Davenport
• Phetsomphou Davenport
• David B Wolf MD PC
• David G. Mikkola PC
• Laquazaya Davis-Brown
• Makaila Sharon Davis-Croft
• Adayjah Davis
• Alexis Davis
• Anne Davis, CRNA

• Psychologist in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.