Individual provider Active NPI

John Conrad Gurski, PH.D.

  • Psychologist
  • Franklin, TN
National Provider Identifier
1922133404
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1206 Issued in TN
Practice address
1606 Emerald CT
Franklin, TN 37064-9642
Phone
(615) 595-5789
Fax
(615) 595-5789
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1206 TN Primary

Addresses

Primary practice location

1606 Emerald CT
Franklin, TN 37064-9642

Mailing address

1606 Emerald CT
Franklin, TN 37064-9642
Phone (615) 595-5789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20060223000739 TN Practitioner - Clinical Psychologist 2769498096 Practice locations: Franklin, TN; Manchester, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1606 Emerald Court
Franklin, TN 37064-9642
Phone (615) 495-7493

1606 Emerald CT
Franklin, TN 37064-9642

30 Powers Bridge Rd
Manchester, TN 37355-2806
Phone (931) 954-5162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Behavioral Health, LLC Past Accepting new patients
Madison Behavioral Health, LLC Past Accepting new patients

Organizations & group practices 2

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1922133404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 EMERALD CT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370649642",
            "telephone_number": "615-595-5789",
            "fax_number": "615-595-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 EMERALD CT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370649642",
            "telephone_number": "615-595-5789",
            "fax_number": "615-595-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURSKI",
        "first_name": "JOHN",
        "middle_name": "CONRAD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.