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DAVID HUGH GILLOOLY Ph.D., NPI 1821092156

Psychologist in CRAWFORDSVILLE, IN

Last Updated on : Jul 08,2007

About DAVID HUGH GILLOOLY (NPI 1821092156)


DAVID HUGH GILLOOLY is a Psychologist provider in CRAWFORDSVILLE, United States. His medical specialization is Psychologist with a focus in Clinical.

1821092156 is NPI number of DAVID HUGH GILLOOLY.

DAVID HUGH GILLOOLY's primary taxonomy code based on NPI Lookup is 103TC0700X with license number 20040255A. This taxonomy code refers to Psychologist.

DAVID HUGH GILLOOLY has more than 16 years of experience.

DAVID HUGH GILLOOLY current practice location address is 1103 RIDGEWAY DR, CRAWFORDSVILLE, IN. DAVID HUGH GILLOOLY can be reached out via phone at 765-362-9215 .

You can also correspond with DAVID HUGH GILLOOLY through mail at mailing address 201 E JEFFERSON ST, CRAWFORDSVILLE, IN, United States. Mailing address contact number is 765-359-0155.

The enumeration date of DAVID HUGH GILLOOLY is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 15 years ago.

1821092156 NPI Information

Name DAVID HUGH GILLOOLY
National Provider Id (NPI) 1821092156
Entity Type Individual
Gender M
Credential Ph.D.
Practice Address 1103 RIDGEWAY DR,
CRAWFORDSVILLE, IN, United States
Practice Telephone 765-362-9215
Practice Fax Number
Mailing Address 201 E JEFFERSON ST , STE 208
CRAWFORDSVILLE, IN, United States
Mailing Telephone 765-359-0155
Mailing Fax Number 765-359-0156
Enumeration Date 01-Jun-2005
Last Updated Date 08-Jul-2007

DAVID HUGH GILLOOLY (NPI 1821092156) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 103TC0700X Psychologist, Clinical 20040255A IN

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
100381940B MEDICAID (05) IN
137300 MEDICARE ID-Type Unspecified (04) IN

DAVID HUGH GILLOOLY (NPI 1821092156) Office Location

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FAQs

Whose NPI Number is 1821092156?

1821092156 is the NPI number of DAVID HUGH GILLOOLY.

What is the specialty for DAVID HUGH GILLOOLY?

The Specialty of DAVID HUGH GILLOOLY is Psychologist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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