CHRISTIAN HOPE GILLESPIE


Address: 810 N Wall St, Carbondale, IL 62901-1735
Phone: 3102705878

CHRISTIAN HOPE GILLESPIE (NPI# 1033735311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033735311
Entity Type Individual
Full Name CHRISTIAN HOPE GILLESPIE
Credential PHD, LCP
Practice Address 810 N Wall St
Carbondale
IL 62901-1735
Mailing Address 124 Ashlyn Ct
Carterville
IL 62918-2382
Practice Telephone 3102705878
Mailing Telephone 3102705878
Enumeration Date 2020-06-22
Last Update Date 2020-06-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TA0700X Psychologist
Specialization: Adult Development & Aging
071009014 IL Behavioral Health & Social Service Providers
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
071009014 IL Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
071009014 IL Behavioral Health & Social Service Providers
N 103TC1900X Psychologist
Specialization: Counseling
071009014 IL Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
071009014 IL Behavioral Health & Social Service Providers
N 103TF0000X Psychologist
Specialization: Family
071009014 IL Behavioral Health & Social Service Providers
N 103TF0200X Psychologist
Specialization: Forensic
071009014 IL Behavioral Health & Social Service Providers
N 103TP2701X Psychologist
Specialization: Group Psychotherapy
071009014 IL Behavioral Health & Social Service Providers

Other Providers CHRISTIAN GILLESPIE

NPI Name Taxonomy Address Enumeration
1184959546 Christian N Gillespie Social Worker 914 E Broadway, 2nd, Louisville, KY 40204-1037 2009-10-02

Office Location

Street Address 810 N WALL ST
City CARBONDALE
State IL
Zip Code 62901-1735

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922612571 Hope and Harmony Wellness Group Pllc Psychologist 810 N Wall St, Carbondale, IL 62901-1735 2020-09-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558961268 Gerad Aaron Harsy Pharmacist Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 2020-10-30
1437708674 Board of Trustees of Southern Illinois University Clinic/Center 300 W Oak Street, Carbondale, IL 62901 2019-09-10
1306317383 Rachael O Johnson Nurse Practitioner 404 S. Lewis Ln, Carbondale, IL 62901 2018-12-17
1740795194 Megan Marie Zimmerman Nurse Practitioner 1100 W Diann Ln., Carbondale, IL 62901 2017-12-07
1295244242 Amy Elizabeth Prudencio Social Worker 1301 E. Walnut Street, Carbondale, IL 62901 2017-09-21
1740708171 Theresa Aleise Goodin Speech-Language Pathologist 1301 East Walnut Street, Carbondale, IL 62901 2017-09-06
1144762527 Kathleen Chwalisz Rigney Psychologist 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 2016-11-16
1285185173 Shawnee Health Service and Development Corp Social Worker 404 S. Lewis Lane, Carbondale, IL 62901 2016-10-17
1437605094 Arielle Greer Nurse's Aide 510 E. Russell St., A, Carbondale, IL 62901 2016-09-01
1518413863 Complete Family Eyecare of Carbondale, PC Optometrist 1241 East Walnut Street, Carbondale, IL 62901 2016-08-28
Find all providers in zip 62901

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306196761 Jean A. Cunningham Psychologist 231 W Main St Ste 1, Carbondale, IL 62901-2948 2012-09-13
1144479478 Holly Cormier Psychologist 139 Pine Shore Dr, 37, Carbondale, IL 62902-7503 2008-09-10
1770795882 Lori Anne Hinsley Psychologist Student Health Center, 374 E Grand, Carbondale, IL 62901 2007-05-03
1417173782 Debra Lynn Braunling Mcmorrow Psychologist 306 W Mill Street, 2nd Floor, Carbondale, IL 62902 2007-04-17
1376661272 James S Peterson Psychologist 1400 W Main, Suite 16, Carbondale, IL 62901 2007-03-27
1437247012 Melinda Luanne Bloos Psychologist 3200 Fishback Rd, Milwood Executive Suites, Carbondale, IL 62901-6307 2006-10-10
1093740862 Jeffrey Saunders Kellogg Psychologist 3412 S Illinois Ave, Carbondale, IL 62903-8362 2006-07-11
1134748635 Warren Thomas Bush Psychologist 374 E Grand Ave, Carbondale, IL 62901-3962 2020-04-14
1700412871 Jose Arroyo Psychologist 231 W Main St Ste 1, Carbondale, IL 62901-2948 2020-03-20
1992210975 Alec Eshelman Psychologist 374 E Grand Ave, Carbondale, IL 62901-3962 2017-12-12
Find all providers in CARBONDALE

Competitor

Search similar providers

City CARBONDALE
Zip Code 62901

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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