DR. MITCHELL DAVID GURK (NPI# 1972598381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972598381 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL DAVID GURK |
| Credential | PHD |
| Practice Address |
16 Hastings Rd Spencer MA 01562-1408 |
| Practice Telephone | 5088853861 |
| Mailing Telephone | 5088853861 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | MAPY2497 | MA | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | MAMFT807 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | LICENSE NUMBER | MA4FT807 | 01 |
| MA | LICENSE NUMBER | MAP42497 | 01 |
| Street Address |
16 HASTINGS RD |
| City | SPENCER |
| State | MA |
| Zip Code | 01562-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699890855 | Carla Lynn Mongiacotti | Registered Nurse | 77 Hastrup Road, Spencer, MA 01562 | 2007-03-20 |
| 1912007964 | Ronald Lane Maclin | Family Medicine | 136 Main Street, Spencer, MA 01562 | 2006-09-22 |
| 1790705432 | Robert Ernest Maloney | Internal Medicine | 118 West Main St, Harrington Physician Services, Spencer, MA 01562 | 2006-07-19 |
| 1912105123 | Town of Spencer | Clinic/Center | 157 Main Street, Spencer, MA 01562 | 2007-07-10 |
| 1134347156 | Spencer-east Brookfield Reg. School Dist. | Local Education Agency (LEA) | 306 Main Street, Spencer, MA 01562 | 2007-04-23 |
| 1093854903 | Nicole Marie Boucher | Counselor | 185 Main Street, Suite 22, Spencer, MA 01562 | 2007-02-06 |
| 1275671331 | Melissa Jane Ayantota | Counselor | 185 Main Street, Spencer, MA 01562 | 2007-02-02 |
| 1467512228 | Arni Bruno Vito Casareale | Counselor | 369 Main St, Spencer, MA 01562 | 2006-12-11 |
| 1407956774 | Leonard A Simonelli Sr. | Optometrist | 230 Main St, Spencer, MA 01562 | 2006-09-25 |
| 1699875039 | Cvs Pharmacy Inc | Pharmacy | 131 Main St, Spencer, MA 01562 | 2006-09-25 |
| Find all providers in zip 01562 | ||||
| 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 |
|---|---|---|---|---|
| 1063685030 | Deborah Rolston | Psychologist | 802 Madison Ave, Spencer, WV 25276-1930 | 2008-04-10 |
| 1417089897 | Psych Services of Roane County | Psychologist | 141 Main St, Spencer, WV 25276-1414 | 2007-03-12 |
| 1184770067 | Janice Blake | Psychologist | 141 Main St, Spencer, WV 25276-1414 | 2007-01-25 |
| 1548316409 | John J Kampsnider | Psychologist | 141 Main St, Spencer, WV 25276-1414 | 2007-01-25 |
| 1689720567 | Sara B Wyer | Psychologist | 141 Main St, Spencer, WV 25276-1414 | 2007-01-25 |
| 1366487902 | Psych Services Associates, Inc | Psychologist | 141 Main St, Spencer, WV 25276-1414 | 2006-06-18 |
| 1780633628 | Roger Jay Littlefield | Psychologist | 201 E 11th St, Spencer, IA 51301-4436 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1841897345 | Sade Callwood | Psychologist | 185 Devonshire St Ste 800, Boston, MA 02110-1414 | 2020-10-07 |
| 1982210480 | Aaron Rezendes Psyd LLC | Psychologist | 38 Dow St, Framingham, MA 01702-7220 | 2020-09-20 |
| 1184239808 | Morgan Eleanor Smigielski | Psychologist | 65 Park Dr Apt 18, Boston, MA 02215-5238 | 2020-09-10 |
| 1821601568 | Dr. Chelsea Levy Licensed Psychologist LLC | Psychologist | 203 Spring St, Medford, MA 02155-2814 | 2020-08-24 |
| 1679183230 | Holly Muller | Psychologist | 225 Friend St, Boston, MA 02114-1800 | 2020-08-07 |
| 1285242123 | Ruth Brim Balser | Psychologist | 36 Audubon Dr, Chestnut Hill, MA 02467-2621 | 2020-07-16 |
| 1952929184 | Sarah Joanna Schoffstall | Psychologist | 32 Hastings St, Framingham, MA 01701-7954 | 2020-07-14 |
| 1225655871 | Sasha Fleary | Psychologist | 28 Walter St, Hyde Park, MA 02136-2973 | 2020-06-30 |
| 1760008635 | Katherine Renda Florek | Psychologist | 2 Collins Rd, Hingham, MA 02043-2017 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
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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.