JOHN L GUSTAVSON PH.D.
NPI 1720068059
Clinical Neuropsychologist in Grand Junction, CO

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment
2530 N 8TH ST, SUITE 204, GRAND JUNCTION, CO 81501(970) 245-3505 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 30, 2019, Oct 24, 2019 (2 updates tracked since 2019).

About John L Gustavson Ph.d. NPPES

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

JOHN L GUSTAVSON PH.D. (NPI 1720068059) is an individual clinical neuropsychologist in Grand Junction, Colorado, licensed in Colorado (PSY.0000987) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1720068059
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameJOHN L GUSTAVSONCredential: PH.D.
Location Address2530 N 8TH ST, SUITE 204Grand Junction, CO 81501-8857
Mailing Address2530 N 8th St, Suite 204Grand Junction, CO 81501-8857 · (970) 245-3505
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateJanuary 20, 2006
Last NPPES UpdateOctober 30, 20192 updates tracked since enumeration
NPI 1720068059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in CO · PSY.0000987
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
2530 N 8TH ST, Grand Junction, CO 81501

Other Identifiers 1

Medicaid07987001CO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John L Gustavson Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567447345
PECOS Enrollment IDI20040624000354
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
193 services40 patients
Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
77 services15 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
36 services36 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
16 services15 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Neuropsychologist
2530 N 8TH ST, SUITE 204
GRAND JUNCTION, CO 81501
Dentist (Endodontics)
2530 N 8TH ST, SUITE 106
GRAND JUNCTION, CO 81501
Dentist (Endodontics)
2530 N 8TH ST, STE 106
GRAND JUNCTION, CO 81501
Dentist (Oral and Maxillofacial Surgery)
2530 N 8TH ST, SUITE 103
GRAND JUNCTION, CO 81501
Dermatology
2530 N 8TH ST, SUITE 205
GRAND JUNCTION, CO 81501
Dermatology
2530 N 8TH ST, SUITE 205
GRAND JUNCTION, CO 81501

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 John Gustavson's NPI number?

The NPI number for John Gustavson is 1720068059. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is John Gustavson located?

John Gustavson practices at 2530 N 8th St Suite 204, Grand Junction, CO 81501. The listed phone number is (970) 245-3505.

What is John Gustavson's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is John Gustavson enrolled in Medicare?

Yes. John Gustavson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Gustavson accept?

Health plans from Providence Health Plan list John Gustavson 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 John Gustavson was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.