BRIAN DANIEL GUSTMAN (NPI# 1902421415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902421415 |
| Entity Type | Individual |
| Full Name | BRIAN DANIEL GUSTMAN |
| Credential | PHD |
| Practice Address |
6333 Copper Dr Frederick CO 80516-9351 |
| Practice Telephone | 7205931323 |
| Mailing Telephone | 7205931323 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY.0005139 | CO | Behavioral Health & Social Service Providers |
| Street Address |
6333 COPPER DR |
| City | FREDERICK |
| State | CO |
| Zip Code | 80516-9351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605411 | Casey Elizabeth Dunne | Behavior Technician | 685 Briggs Street, Erie, CO 80516 | 2020-09-28 |
| 1972153799 | Brynn Lay | Chiropractor | 615 Briggs St., Ste. B, Erie, CO 80516 | 2019-09-13 |
| 1013561414 | Giselle Serrano | Dentist | 1927 Colorado State Hwy 7 Ste 101, Ste 101, Erie, CO 80516 | 2019-07-25 |
| 1790348258 | Wild Sun Behavioral Services, LLC | Behavioral Analyst | 685 Briggs St, Erie, CO 80516 | 2019-04-19 |
| 1174011274 | Erie Modern Dentistry, LLP | Dentist | 1927 Colorado State Hwy 7, Suite 101, Erie, CO 80516 | 2018-04-25 |
| 1255843975 | Colorado Dental Professionals, LLC | Dentist | 440 Erie Pkwy, Erie, CO 80516 | 2017-11-03 |
| 1902315476 | Elizabeth Ann Shedd | Nurse Practitioner | 2303 Dogwood Drive, Erie, CO 80516 | 2017-09-27 |
| 1174041073 | Anna Geheren | Registered Nurse | 764 High St, Erie, CO 80516 | 2017-08-31 |
| 1033659321 | T. Brian Cope D.d.s. P.C. | Dentist | 71 Erie Parkway, Suite 101, Erie, CO 80516 | 2017-03-06 |
| 1962959569 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1981 State Hwy 7, Erie, CO 80516 | 2016-09-01 |
| Find all providers in zip 80516 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144647561 | Behavioral Counseling Services of Washington County, Inc. | Psychologist | 427 E. Patrick Street, Frederick, MD 21701 | 2014-03-24 |
| 1134426083 | Grace Marie Riley | Psychologist | 120 W Church St Ste 1a, Frederick, MD 21701-7800 | 2011-02-11 |
| 1790092724 | Aaron Todd Heaton | Psychologist | 365 W Patrick St Fl 205, Frederick, MD 21701-4870 | 2010-09-13 |
| 1124276852 | C. Parker | Psychologist | 5257 Buckeystown Pike, Box 478, Frederick, MD 21704-7535 | 2008-09-06 |
| 1932368628 | Evergreen Psychology, LLC | Psychologist | 235 W Patrick St, Frederick, MD 21701-6934 | 2008-06-06 |
| 1285756767 | James E. Roembke Jr. | Psychologist | 116 Record St, Frederick, MD 21701-5418 | 2007-04-04 |
| 1588798607 | Jee-young Ahn | Psychologist | 10 N Jefferson St Ste 403, Frederick, MD 21701-4823 | 2007-03-14 |
| 1831224906 | Robert Frank Mannis | Psychologist | 235 Wes Patrick St, Robert F. Mannis Phd, Frederick, MD 21701 | 2007-02-22 |
| 1013075266 | Mark Douglas Springston | Psychologist | 3390 Urbana Pike, Frederick, MD 21704-7769 | 2006-12-04 |
| 1538271978 | Mark Palmisano | Psychologist | 801 Toll House Ave Unit A-3, Frederick, MD 21701-6110 | 2006-08-31 |
| Find all providers in FREDERICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.