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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184959546 | Christian N Gillespie | Social Worker | 914 E Broadway, 2nd, Louisville, KY 40204-1037 | 2009-10-02 |
Street Address |
810 N WALL ST |
City | CARBONDALE |
State | IL |
Zip Code | 62901-1735 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922612571 | Hope and Harmony Wellness Group Pllc | Psychologist | 810 N Wall St, Carbondale, IL 62901-1735 | 2020-09-01 |
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 Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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 |
City | CARBONDALE |
Zip Code | 62901 |
Please comment or provide details below to improve the information on CHRISTIAN HOPE GILLESPIE.
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.