DR. IAN GACKOWSKI PSY.D.
NPI 1356814115
Psychologist in Ann Arbor, MI

Active since January 04, 2019
120 E LIBERTY ST STE 300D, ANN ARBOR, MI 48104(269) 370-1868 Get Directions Write a Review

NPPES record last updated: February 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 10, 2019, Jan 4, 2019 (2 updates tracked since 2019).

About Dr. Ian Gackowski Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IAN GACKOWSKI PSY.D. (NPI 1356814115) is an individual psychologist in Ann Arbor, Michigan, licensed in Michigan (6301017272) and active in the NPI registry since January 2019. He maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1356814115
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. IAN GACKOWSKICredential: PSY.D.
Location Address120 E LIBERTY ST STE 300DAnn Arbor, MI 48104-2163
Mailing Address2180 Arbor Cir W Apt 108Ypsilanti, MI 48197-3450 · (269) 370-1868
Sole ProprietorYes
Enumeration DateJanuary 4, 2019
Last NPPES UpdateFebruary 10, 20192 updates tracked since enumeration
NPI 1356814115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301017272
Definition
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.
120 E LIBERTY ST STE 300D, Ann Arbor, MI 48104

Secondary Practice Location 1

Location 1609 Tappan AveAnn Arbor, MI 48109-1220 · Phone (734) 764-8312

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ian Gackowski's NPI number?

The NPI number for Ian Gackowski is 1356814115. It was assigned to this individual provider in the NPPES registry on January 4, 2019.

Where is Ian Gackowski located?

Ian Gackowski practices at 120 E Liberty St Ste 300D, Ann Arbor, MI 48104. The listed phone number is (269) 370-1868.

What is Ian Gackowski's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

What insurance does Ian Gackowski accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Ian Gackowski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ian Gackowski was last updated on February 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.