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DAKOTA M GILLMORE PHD
NPI 1194452896
Psychologist - Clinical in Fort Drum, NY

Active since August 02, 2022
11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602(888) 838-1303 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2026, Jun 4, 2025, May 29, 2025 and 1 more (4 updates tracked since 2022).

About Dakota M Gillmore Phd NPPES

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

DAKOTA M GILLMORE PHD (NPI 1194452896) is an individual clinical provider in Fort Drum, New York, licensed in Virginia (0810008441) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1194452896
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDAKOTA M GILLMORECredential: PHD
Location Address11050 MT BELVEDERE BLVDFort Drum, NY 13602-2603
Mailing Address11050 Mt Belvedere BlvdFort Drum, NY 13602-2603 · (888) 838-1303
Phone(888) 838-1303
Sole ProprietorNo
Enumeration DateAugust 2, 2022
Last NPPES UpdateMarch 10, 20264 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1194452896 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 VA · 0810008441
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.
11050 MT BELVEDERE BLVD, Fort Drum, NY 13602
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL HARRIS CARPENTER M.D.
Pediatrics
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-7730
DR. ELIZABETH DUQUE M.D.
Family Medicine
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (888) 838-1303
PATRICK ALLEN CLAPP PA-C
Physician Assistant
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-5516
KEVIN LEE LAROSE PHYSICIAN ASSISTANT
Physician Assistant
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
DEEANN STALVEY
Psychologist
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (701) 367-0584
AMBER DONN CANTEY DPT
Physical Therapist
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (210) 419-1874
JEREMIAH C CLESTER PA-C
Physician Assistant
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
DUSTEN GREEN DSW,LCSW, CASAC
Social Worker
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778

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 Dakota Gillmore's NPI number?

The NPI number for Dakota Gillmore is 1194452896. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Dakota Gillmore located?

Dakota Gillmore practices at 11050 Mt Belvedere Blvd, Fort Drum, NY 13602. The listed phone number is (888) 838-1303.

What is Dakota Gillmore's specialty?

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

When was this NPI record last updated?

The NPPES record for Dakota Gillmore was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.