ROBERT WILLSON GILLEN (NPI# 1245220227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245220227 |
| Entity Type | Individual |
| Full Name | ROBERT WILLSON GILLEN |
| Credential | PHD |
| Practice Address |
215 Washington Avenue Ext Albany NY 12205-5534 |
| Practice Telephone | 5184520914 |
| Practice Fax Number | 5184525953 |
| Mailing Telephone | 5184520914 |
| Mailing Fax Number | 5184525953 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 7574 | NY | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | 007574 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01698773 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205967346 | Robert E Gillen | Specialist/Technologist | 1914 Armwood Ln, Mundelein, IL 60060-1471 | 2007-03-08 |
| Street Address |
215 WASHINGTON AVENUE EXT |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-5534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710989249 | Jocelyn Celestin | Allergy & Immunology | 215 Washington Avenue Ext, Albany, NY 12205-5534 | 2005-08-15 |
| 1598019705 | Albany Medical College | Internal Medicine | 215 Washington Avenue Ext, Albany, NY 12205-5534 | 2012-11-09 |
| 1841408192 | Dominic John Belmonte | Preventive Medicine | 215 Washington Avenue Ext, Albany, NY 12205-5534 | 2007-05-18 |
| 1154310258 | Karen Judith Koutsourades | Physical Therapist | 215 Washington Avenue Ext, Albany, NY 12205-5534 | 2005-10-20 |
| 1356337018 | Clifford Melvin Tepper | Allergy & Immunology | 215 Washington Avenue Ext, Albany, NY 12205-5534 | 2005-09-27 |
| 1851387336 | Frances Elinor Simons | Allergy & Immunology | 215 Washington Avenue Ext, Albany, NY 12205-5534 | 2005-09-21 |
| 1710972971 | Muhammad Asghar Pasha | Allergy & Immunology | 215 Washington Avenue Ext, Albany, NY 12205-5534 | 2005-09-14 |
| 1427042399 | Eric S Molho | Psychiatry & Neurology | 215 Washington Avenue Ext, Center of Amc, Albany, NY 12205-5534 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114385432 | How 'fryed' Am I LLC | Clinical Neuropsychologist | 46 Colonial Ave, Suite A, Albany, NY 12203-2012 | 2016-02-01 |
| 1609265123 | Albany General Hospital | Clinical Neuropsychologist | 534 Pleasant View Way Nw, Suite 200, Albany, OR 97321-1700 | 2015-01-21 |
| 1275790461 | Audrina Alexis Mullane | Clinical Neuropsychologist | 534 Pleasant View Way Nw Ste 200, Albany, OR 97321-1789 | 2008-05-16 |
| 1518184712 | Comprehensive Neuropsychological Services, Pllc | Clinical Neuropsychologist | 490 Western Ave, Albany, NY 12203-1513 | 2007-04-19 |
| 1710029434 | George Barrett Litchford | Clinical Neuropsychologist | 67 S Lake Ave, Albany, NY 12203-1103 | 2007-02-12 |
| 1790868859 | Jeanne Kostas | Clinical Neuropsychologist | 245 Lark St, Albany, NY 12210-1149 | 2006-10-23 |
| 1740206010 | Neuropsychologic Rehabilitation Services PC | Clinical Neuropsychologist | 300 Washington Ave. Ext., Albany, NY 12203 | 2006-07-13 |
| 1194766873 | Mccaffrey Psychological PC | Clinical Neuropsychologist | 1740 Western Avenue, Suite 100, Albany, NY 12203-4414 | 2006-06-10 |
| 1558320572 | South Georgia Neuropsychological Associates | Clinical Neuropsychologist | 1211 Palmyra Rd, Albany, GA 31701-1935 | 2006-03-20 |
| 1790039063 | Lindsey Erinn Felix | Clinical Neuropsychologist | 534 Pleasant View Way Nw Ste 200, Albany, OR 97321-1789 | 2012-11-07 |
| Find all providers in ALBANY | ||||
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| 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.