David M Gursky, PH D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

1240 Bamburg CT
Hanover Park, IL 60133-5243

Phone

(630) 372-6599

Fax

(630) 372-6697

NPI assigned

Jul 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

VCC Counseling, Inc.Group PAC ID 1759486673, 7 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• VCC Counseling, Inc.

  • Clinical Psychologist
  • South Elgin, IL
  • NPI 1477563641
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942225669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 BAMBURG CT",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335243",
            "telephone_number": "630-372-6599",
            "fax_number": "630-372-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 BAMBURG CT",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335243",
            "telephone_number": "630-372-6599",
            "fax_number": "630-372-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURSKY",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Family Health
• Greenbrook Dental
• Greenbrook Pharmacy LLC (Greenbrook Pharmacy)
• Douglas Mitchel Griffin, R.PH.
• Genie Cynthia Guerra
• Elena D Hain, B.A.
• Susanne Michele Hall, P.T.
• Hanover Dental PC
• Hanover Park Dental Clinic, LLC
• Hanover Park Physical Medicine & Rehabilitation LTD

• Clinical Psychologist in Hanover Park, IL
• Providers in Hanover Park, 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.