Paul R. Gorecki, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-002828 Issued in IL

Practice address

800 S Northwest Hwy
#201
Barrington, IL 60010-4652

Phone

(847) 382-2449

Fax

(847) 382-9718

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paul R. Gorecki, PH.D., P.C.

  • Clinical Psychologist
  • Barrington, IL
  • NPI 1841620242
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922013390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S NORTHWEST HWY",
            "address_2": "#201",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104652",
            "telephone_number": "847-382-2449",
            "fax_number": "847-382-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S NORTHWEST HWY",
            "address_2": "#201",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104652",
            "telephone_number": "847-382-2449",
            "fax_number": "847-382-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORECKI",
        "first_name": "PAUL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-002828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Shepherd D O B Pharmacy
• Good Shepherd Hospital
• Galina Goode, M.D.
• Marina Goodman-Flider, MD
• Jeffrey B Gordon, MD
• Gorey Counseling & Psychotherapy LTD
• Thomas M Gorey, L.C.P.C
• Barbara Rose Grace, PH.D.
• Monica Rae Grana, PSYD
• Briana Granillo

• Clinical Psychologist in Barrington, IL
• Providers in Barrington, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.