DR. KELLEY GILL PH.D.
NPI 1083087456
Psychologist - Clinical in Fort Lauderdale, FL

Q: What is Kelley Gill's NPI number?

The NPI number for Kelley Gill is 1083087456. It was assigned to this individual provider in the NPPES registry on November 7, 2015.

Q: What is Kelley Gill's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Gill was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 07, 2015PECOS Enrolled

1752 NW 3RD TER, #213, FORT LAUDERDALE, FL 33311(203) 430-9108 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2019, Jan 6, 2017, Sep 14, 2016 (3 updates tracked since 2016).

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About Dr. Kelley Gill Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLEY GILL PH.D. (NPI 1083087456) is an individual clinical provider in Fort Lauderdale, Florida, licensed in Florida (PY 9562) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1083087456

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KELLEY GILLCredential: PH.D.

Location Address1752 NW 3RD TER, #213Fort Lauderdale, FL 33311-4885

Mailing Address1752 Nw 3rd Ter, #213Fort Lauderdale, FL 33311-4885 · (203) 430-9108

Phone(203) 430-9108

Sole ProprietorYes

Enumeration DateNovember 7, 2015

Last NPPES UpdateNovember 7, 20193 updates tracked since enumeration

✔ NPI 1083087456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY 9562

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1752 NW 3RD TER, Fort Lauderdale, FL 33311

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Secondary Practice Location 1

Location 13512 Quentin Rd Ste 110Brooklyn, NY 11234-4245 · Phone (718) 942-6595

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelley Gill Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33311 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$179.05 typical visit price

range $58.56 – $179.05

Typical copayment $44.76 (range $14.64 – $44.76)

Most-billed visit code 99205

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Gill's NPI number?

The NPI number for Kelley Gill is 1083087456. It was assigned to this individual provider in the NPPES registry on November 7, 2015.

Where is Kelley Gill located?

Kelley Gill practices at 1752 NW 3rd Ter #213, Fort Lauderdale, FL 33311. The listed phone number is (203) 430-9108.

What is Kelley Gill's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kelley Gill enrolled in Medicare?

Yes. Kelley Gill is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelley Gill was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.