Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649212390 Individual Practitioner Male Practitioner

Dr. Daniel T Gustafson , PhD

Psychologist • Madison, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Gustafson, PhD is a certified Psychologist practicing in Madison, WI. With approximately 29 years of clinical experience since completing medical education in 1997, Dr. Gustafson delivers high-quality medical care to the local community at 752 N HIGH POINT RD.

Dr. Gustafson is affiliated with Dean Health Systems Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

752 N High Point Rd

Madison, WI 537172236

Telephone 6088244000
Fax 6088244938
Associated Practice Facility / Clinic
🏢 Dean Health Systems, Inc. Facility NPI 1558372441

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Madison, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs +9.5 yrs vs City Avg
City Avg: 19.5 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
216 Specialists

Practicing in Madison, WI (1000 Statewide)

Telehealth Adoption Rate
23.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gustafson (29 Years) 29 Yrs
Madison Specialty Average (19.5 Years) 19.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
61 20 $526.00 $148.83
90834 Psychotherapy, 45 minutes
25 12 $351.00 $100.67

Medical Specialties & State Licenses

CMS Verified: 2020-12-18
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License WI 2188-057

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1649212390 (WI)

Hospital & Practice Group Affiliations

Dean Health Systems Inc

752 N High Point Rd, Madison, WI 537172236

Phone: 6088244000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 24, 2018

Registered at 752 N HIGH POINT RD, MADISON, WI 537172236 (Tel: 6088244000)

📍
Updated Business Mailing Address April 24, 2018

Registered at 752 N HIGH POINT RD, MADISON, WI 537172236 (Tel: 6088244800)

NPI Profile Active October 13, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2010

Registered at 752 N HIGH POINT RD, DEAN MEDICAL CENTER, MADISON, WI 537172236 (Tel: 6088244800)

📍
Updated Business Mailing Address October 13, 2010

Registered at 752 N HIGH POINT RD, DEAN MEDICAL CENTER, MADISON, WI 537172236 (Tel: 6088244800)

👤
Provider Name / Credentials Updated October 13, 2010

Recorded as DANIEL GUSTAFSON, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2010

Psychologist (License #2188-057 in WI)

🟢
Initial NPI Registration & Enumeration June 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649212390
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2006
Last Update: December 18, 2020
Sole Proprietor: No

Mailing Address

752 N High Point Rd

Madison, WI 537172236

Phone: 6088244800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.