MR. MICHAEL JOSEPH GILLEN PH.D.
NPI 1477925121
Psychologist - Clinical in Union Grove, WI

Q: What is Michael Gillen's NPI number?

The NPI number for Michael Gillen is 1477925121. It was assigned to this individual provider in the NPPES registry on October 21, 2015.

Q: What is Michael Gillen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Gillen was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 21, 2015PECOS EnrolledAccepts Medicare Assignment

21425 SPRING STREET, UNION GROVE VA CLINIC, UNION GROVE, WI 53182(262) 878-7020 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. Michael Joseph Gillen Ph.d. NPPES

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

MR. MICHAEL JOSEPH GILLEN PH.D. (NPI 1477925121) is an individual clinical provider in Union Grove, Wisconsin, licensed in Wisconsin (3313-57) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1477925121

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMR. MICHAEL JOSEPH GILLENCredential: PH.D.

Location Address21425 SPRING STREET, UNION GROVE VA CLINICUnion Grove, WI 53182

Mailing Address21425 Spring Street, Union Grove Va ClinicUnion Grove, WI 53182 · (262) 878-7020

Phone(262) 878-7020

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 21, 2015

Last NPPES UpdateNovember 15, 2023

NPPES CertifiedNovember 15, 2023

✔ NPI 1477925121 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 WI · 3313-57

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.

21425 SPRING STREET, Union Grove, WI 53182

Open in Google Maps ↗

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

Mr. Michael Joseph Gillen Ph.d. 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 ID1052609906

PECOS Enrollment IDI20161010002131

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 53182 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

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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 Gillen's NPI number?

The NPI number for Michael Gillen is 1477925121. It was assigned to this individual provider in the NPPES registry on October 21, 2015.

Where is Michael Gillen located?

Michael Gillen practices at 21425 Spring Street Union Grove VA Clinic, Union Grove, WI 53182. The listed phone number is (262) 878-7020.

What is Michael Gillen's specialty?

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

Is Michael Gillen enrolled in Medicare?

Yes. Michael Gillen 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.

When was this NPI record last updated?

The NPPES record for Michael Gillen was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.