Individual provider Active NPI

Debra Kay Gorney-Jankowski, MSN, RNCS

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • Rochester Hills, MI
National Provider Identifier
1932117009
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X
License
4704115087 Issued in MI
Practice address
441 S Livernois Rd
Suite 205
Rochester Hills, MI 48307-2584
Phone
(248) 608-8800
Fax
(248) 608-2490
NPI assigned
Aug 4, 2006
Last updated
Feb 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X 4704115087 MI Primary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 4704115087 MI

Addresses

Primary practice location

441 S Livernois Rd
Suite 205
Rochester Hills, MI 48307-2584

Mailing address

441 S Livernois Rd
Suite 205
Rochester Hills, MI 48307-2584
Phone (248) 608-8800

Other names 1

  • Ms. Debra Kay Gorney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061228000185 MI Practitioner - Nurse Practitioner 8527068477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wayne State University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10785 S Saginaw St
Suite a
Grand Blanc, MI 48439-7003
Phone (248) 322-0001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704115087MIMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 8, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 8, 2024 Accepting new patients
Oakland Psychological Clinic, P.C. Current Accepting new patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients

Locations

2550 S Telegraph Rd
Ste 250
Bloomfld Hls, MI 48302
Phone (248) 322-0001

16664 15 Mile Rd
Fraser, MI 48026
Phone (586) 294-3030

10785 S Saginaw St
Ste A
Grand Blanc, MI 48439
Phone (810) 695-0055

1455 S Lapeer Rd
Ste 175
Lake Orion, MI 48360
Phone (248) 322-0001

Organizations & group practices 4

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1932117009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 S LIVERNOIS RD",
            "address_2": "SUITE 205",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072584",
            "telephone_number": "248-608-8800",
            "fax_number": "248-608-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S LIVERNOIS RD",
            "address_2": "SUITE 205",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072584",
            "telephone_number": "248-608-8800",
            "fax_number": "248-608-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORNEY-JANKOWSKI",
        "first_name": "DEBRA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "MSN, RNCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MI",
            "license": "4704115087",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MI",
            "license": "4704115087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "GORNEY",
            "middle_name": "KAY",
            "prefix": "MS.",
            "credential": "MSN, RN, CS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.