Gregory John Worthington, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301012248 Issued in MI

Practice address

401 W Front St
Suite #3
Traverse City, MI 49684-2259

Phone

(231) 932-0232

Fax

(231) 932-0232

NPI assigned

May 21, 2009

Last updated

May 21, 2009By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• True North Psychology, P.C.

  • Clinical Psychologist
  • Traverse City, MI
  • NPI 1336244656
  Authorized official Same address or phone

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1982839767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W FRONT ST",
            "address_2": "SUITE #3",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842259",
            "telephone_number": "231-932-0232",
            "fax_number": "231-932-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W FRONT ST",
            "address_2": "SUITE #3",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842259",
            "telephone_number": "231-932-0232",
            "fax_number": "231-932-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHINGTON",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PIN",
            "identifier": "OB81123",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra G Worden, MSN,FNP-C
• Susanna Worden
• Alexandra May Workman
• Barbara Worland
• Lindsey Marie Wormell
• Laura Leigh Worthington, PA
• Vincent G Worthington, NP
• Alison B Woytowich, LMSW-C
• Katie Jane Wozniak
• David Dorman Wright, M.D.

• Clinical Psychologist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.