Individual provider Active NPI

Mitchell David Gurk, PHD

  • Marriage & Family Therapist
  • Spencer, MA
National Provider Identifier
1972598381
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MAMFT807 Issued in MA
Practice address
16 Hastings Rd
Spencer, MA 01562-1408
Phone
(508) 885-3861
NPI assigned
Sep 13, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X MAPY2497 MA
Marriage & Family Therapist 106H00000X MAMFT807 MA Primary

Addresses

Primary practice location

16 Hastings Rd
Spencer, MA 01562-1408

Mailing address

16 Hastings Rd
Spencer, MA 01562-1408
Phone (508) 885-3861

Other identifiers 2

IdentifierTypeStateIssuer
MAP42497OtherMALICENSE NUMBER
MA4FT807OtherMALICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MAPY2497MAMDPsychologist
MAMFT807MAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972598381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HASTINGS RD",
            "city": "SPENCER",
            "state": "MA",
            "postal_code": "015621408",
            "telephone_number": "508-885-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HASTINGS RD",
            "city": "SPENCER",
            "state": "MA",
            "postal_code": "015621408",
            "telephone_number": "508-885-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURK",
        "first_name": "MITCHELL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "MAPY2497",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "MAMFT807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MAP42497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MA4FT807",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, MA

Sources for this page

Verify at the official NPI Registry.