MR. MICHAEL WILLIAM GILLUM MA
NPI 1194789180
Psychologist in Williamsport, PA

Active since April 14, 2006
705 WASHINGTON BLVD STE 100, WILLIAMSPORT, PA 17701(570) 321-6390(570) 321-6393 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Michael William Gillum Ma NPPES

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

MR. MICHAEL WILLIAM GILLUM MA (NPI 1194789180) is an individual psychologist in Williamsport, Pennsylvania, licensed in Pennsylvania (PS007825L) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1194789180
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. MICHAEL WILLIAM GILLUMCredential: MA
Location Address705 WASHINGTON BLVD STE 100Williamsport, PA 17701-5355
Mailing Address705 Washington Blvd Ste 100Williamsport, PA 17701-5355 · (570) 321-6390 · Fax (570) 321-6393
Fax(570) 321-6393
Sole ProprietorNo
Enumeration DateApril 14, 2006
Last NPPES UpdateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
NPI 1194789180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PA · PS007825L
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PS007825L (PA)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PS007825L (PA)
705 WASHINGTON BLVD STE 100, Williamsport, PA 17701

Other Identifiers 1

Medicaid001553383PA

Accepted Insurance

Other Providers at the Same Location NPPES 12

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

Social Worker
705 WASHINGTON BLVD STE 100
WILLIAMSPORT, PA 17701
Counselor (Mental Health)
705 WASHINGTON BLVD STE 100
WILLIAMSPORT, PA 17701
Counselor (Mental Health)
705 WASHINGTON BLVD STE 100
WILLIAMSPORT, PA 17701
Social Worker
705 WASHINGTON BLVD STE 100
WILLIAMSPORT, PA 17701
Social Worker
705 WASHINGTON BLVD STE 100
WILLIAMSPORT, PA 17701
Social Worker (Clinical)
705 WASHINGTON BLVD STE 100
WILLIAMSPORT, PA 17701
Psychologist (Psychoanalysis)
705 WASHINGTON BLVD STE 100
WILLIAMSPORT, PA 17701
Counselor (Professional)
705 WASHINGTON BLVD STE 100
WILLIAMSPORT, PA 17701

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 Michael Gillum's NPI number?

The NPI number for Michael Gillum is 1194789180. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Michael Gillum located?

Michael Gillum practices at 705 Washington Blvd Ste 100, Williamsport, PA 17701. The listed phone number is (570) 321-6390.

What is Michael Gillum's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

What insurance does Michael Gillum accept?

Health plans from Providence Health Plan list Michael Gillum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Gillum was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.