Michael Patrich Gunning, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P67693 Issued in NY

Practice address

3771 Nesconset Hwy
Suite 214
South Setauket, NY 11720-1163

Phone

(631) 751-1420

Fax

(631) 509-0601

NPI assigned

Sep 10, 2009

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 1, 2018 through Jun 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1962735829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 NESCONSET HWY",
            "address_2": "SUITE 214",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201163",
            "telephone_number": "631-751-1420",
            "fax_number": "631-509-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 NESCONSET HWY",
            "address_2": "SUITE 214",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201163",
            "telephone_number": "631-751-1420",
            "fax_number": "631-509-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNING",
        "first_name": "MICHAEL",
        "middle_name": "PATRICH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "P67693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nishaat Focarile, PT
• Barbara Giannelli-O'Brien, LCSW
• Alexandra Gleason, LMFT
• Joy Michele Gootkin, LCSW
• Jennifer Gozaloff
• Heawon Hake, LCSW
• Hart to Heart Clinical Counseling Services LCSW PC
• Jay A Hart, LCSW
• Heawon Hake Inc.
• Jill Bruning Hindes, NPP

• Clinical Psychologist in South Setauket, NY
• Providers in South Setauket, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.