GORECKI PSYCHOLOGICAL SERVICES LLC
NPI 1083170732
Clinic/Center - Mental Health (Including Community Mental Health Center) in Brookfield, WI

NPI Status: Active since February 19, 2019

Contact Information

19275 W CAPITOL DR STE 200
BROOKFIELD, WI
ZIP 53045
Phone: (262) 546-7478
Fax: (262) 373-0362

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About GORECKI PSYCHOLOGICAL SERVICES LLC

This page provides the complete NPI Profile along with additional information for Gorecki Psychological Services Llc, a provider established in Brookfield, Wisconsin operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1083170732 assigned on February 2019. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Kim Marie Gorecki Psy.d. (Owner/clinical Psychologist)

NPI
1083170732
Provider Name
GORECKI PSYCHOLOGICAL SERVICES LLC
Entity Type
Organization
Location Address
19275 W CAPITOL DR STE 200 BROOKFIELD, WI 53045
Location Phone
(262) 546-7478
Location Fax
(262) 373-0362
Mailing Address
19275 W CAPITOL DR STE 200 BROOKFIELD, WI 53045
Mailing Phone
(262) 546-7478
Mailing Fax
(262) 373-0362
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-19-2019
Last Update Date
02-19-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KIM MARIE GORECKI PSY.D.

Authorized Official Title
OWNER/CLINICAL PSYCHOLOGIST
Authorized Official Phone
(262) 546-7478

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1649361775OTHER (01)WINPI
2810-057OTHER (01)WICP LICENSE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1083170732
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2016327076
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 2 + 7 + 0 + 7 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1083170732 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447456603DR. SONYA S TRUEBLOOD PSYD
Individual
Psychologist (Clinical)19275 W CAPITOL DR STE 200
BROOKFIELD, WI 53045
(262) 222-2882
1073907622TRUEBLOOD PSYCHOLOGICAL SERVICES, LLC
Organization
Psychologist19275 W CAPITOL DR STE 200
BROOKFIELD, WI 53045
(262) 222-2882
1649361775DR. KIM MARIE GORECKI PSYD
Individual
Psychologist (Clinical)19275 W CAPITOL DR STE 200
BROOKFIELD, WI 53045
(262) 546-7478

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083170732, enumerated in the NPI registry as an "organization" on February 19, 2019

The provider is located at 19275 W Capitol Dr Ste 200 Brookfield, Wi 53045 and the phone number is (262) 546-7478

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 19, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.