DR. JENNIFER W GILLIN PSYD
NPI 1215049093
Psychologist - Clinical in Westhampton Beach, NY

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
99B MAIN ST, WESTHAMPTON BEACH, NY 11978(631) 288-3969 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 6, 2017 (2 updates tracked since 2017).

About Dr. Jennifer W Gillin Psyd NPPES

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

DR. JENNIFER W GILLIN PSYD (NPI 1215049093) is an individual clinical provider in Westhampton Beach, New York, licensed in New York (015710) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1215049093
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JENNIFER W GILLINCredential: PSYD
Location Address99B MAIN STWesthampton Beach, NY 11978-2607
Mailing AddressPo Box 195Westhampton, NY 11977-0195 · (631) 682-0265
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1215049093 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 NY · 015710
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.

99B MAIN ST, Westhampton Beach, NY 11978

Other Names 1

Professional Name (2)Dr. Jennifer W Ketner Psyd

Other Identifiers 2

Other73361570NY · Ghi/empire
Other497164NY · Value Options

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jennifer W Gillin Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698768760
PECOS Enrollment IDI20040405001485
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 11978 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Psychiatric/Mental Health)
99B MAIN ST
WESTHAMPTON BEACH, NY 11978
Social Worker (Clinical)
99B MAIN ST
WESTHAMPTON BEACH, NY 11978
Social Worker (Clinical)
99B MAIN ST
WESTHAMPTON BEACH, NY 11978

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 Jennifer Gillin's NPI number?

The NPI number for Jennifer Gillin is 1215049093. It was assigned to this individual provider in the NPPES registry on August 31, 2006. The provider is also known as Dr. Jennifer W Ketner Psyd.

Where is Jennifer Gillin located?

Jennifer Gillin practices at 99B Main St, Westhampton Beach, NY 11978. The listed phone number is (631) 288-3969.

What is Jennifer Gillin's specialty?

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

Is Jennifer Gillin enrolled in Medicare?

Yes. Jennifer Gillin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Gillin accept?

Health plans from Providence Health Plan list Jennifer Gillin 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 Jennifer Gillin was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.