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MS. CHARLYNN MARIE GILLAM
NPI 1174293294
Peer Specialist in Mojave, CA

Active since September 20, 2021
16940 HIGHWAY 14 STE C-F, MOJAVE, CA 93501(661) 824-5020 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2023, Sep 20, 2021 (2 updates tracked since 2021).

About Ms. Charlynn Marie Gillam NPPES

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

MS. CHARLYNN MARIE GILLAM (NPI 1174293294) is an individual peer specialist in Mojave, California and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1174293294
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMS. CHARLYNN MARIE GILLAM
Location Address16940 HIGHWAY 14 STE C-FMojave, CA 93501-1238
Mailing Address16940 Highway 14 Ste C-fMojave, CA 93501-1238 · (661) 824-5020
Phone(661) 824-5020
Sole ProprietorYes
Enumeration DateSeptember 20, 2021
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1174293294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
16940 HIGHWAY 14 STE C-F, Mojave, CA 93501
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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 Charlynn Gillam's NPI number?

The NPI number for Charlynn Gillam is 1174293294. It was assigned to this individual provider in the NPPES registry on September 20, 2021.

Where is Charlynn Gillam located?

Charlynn Gillam practices at 16940 Highway 14 Ste C-F, Mojave, CA 93501. The listed phone number is (661) 824-5020.

What is Charlynn Gillam's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Charlynn Gillam was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.