JENNIFER GORSKI PHD NPI 1376766766

NPI Information

NPI: 1376766766
Provider Name: JENNIFER GORSKI, PHD
Classification: Psychologist - 103TB0200X
Entity Type: Individual

Specialization: Cognitive & Behavioral

Address:
912 S WOOD ST
CHICAGO, IL
ZIP 60612
Phone: (312) 996-7206
Get Directions

Jennifer Gorski, PHD is a cognitive and behavioral psychologist in Chicago, IL. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. Jennifer Gorski, PHD NPI is 1376766766. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

912 S WOOD ST
CHICAGO, IL
ZIP 60612-300
Phone: (312) 996-7206
Fax: (312) 996-9788

The enumeration date for this NPI number is 4/11/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	71006906	ILLINOIS	Yes
2	103TC2200X	Psychologist	Clinical Child & Adolescent	71006906	ILLINOIS	X
3	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	71006906	ILLINOIS	X
4	103TC0700X	Psychologist	Clinical		ILLINOIS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K21929	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	MEMBER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »