ROBERT WILLSON GILLEN PHD
NPI 1245220227
Clinical Neuropsychologist in Albany, NY
- Individual
- Male
- Clinical Neuropsychologist
- Accepts Insurance
- PECOS Enrolled
About ROBERT GILLEN
This page provides the complete NPI Profile along with additional information for Robert Gillen, a provider established in Albany, New York with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1245220227 assigned on October 2005. The practitioner's primary taxonomy code is 103G00000X with license number 7574 (NY). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1245220227 Verify this NPI
- Provider Name
- ROBERT WILLSON GILLEN PHD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 215 WASHINGTON AVENUE EXT ALBANY, NY 12205
- Location Phone
- (518) 452-0914
- Location Fax
- (518) 452-5953
- Mailing Address
- 215 WASHINGTON AVENUE EXT ALBANY, NY 12205
- Mailing Phone
- (518) 452-0914
- Mailing Fax
- (518) 452-5953
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-21-2005
- Last Update Date
- 05-19-2021
- Code Navigator
Location Map
Secondary Locations
- 1270 Belmont Ave
Schenectady, NY 12308
(518) 382-4500
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 7574
- License State
- NY
- Taxonomy Description
- A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | 007574 (NY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01698773 | MEDICAID (05) | NY |
Medicare Participation & PECOS Enrollment Status
Robert Gillen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
ALBANY, NY 12205
ALBANY, NY 12205
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245220227, enumerated as an "individual" on October 21, 2005.
The provider is located at 215 WASHINGTON AVENUE EXT ALBANY, NY 12205 and the phone number is (518) 452-0914.
Clinical Neuropsychologist with taxonomy code 103G00000X.
The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
