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RODERICK J GILLISON CPSS
NPI 1497584346
Peer Specialist in Detroit, MI

Active since July 30, 2024
10 PETERBORO ST, DETROIT, MI 48201(313) 831-3160 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roderick J Gillison Cpss NPPES

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

RODERICK J GILLISON CPSS (NPI 1497584346) is an individual peer specialist in Detroit, Michigan and active in the NPI registry since July 2024. He maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1497584346
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameRODERICK J GILLISONCredential: CPSS
Location Address10 PETERBORO STDetroit, MI 48201-2722
Mailing Address10 Peterboro StDetroit, MI 48201-2722 · (313) 831-3160
Phone(313) 831-3160
Sole ProprietorNo
Enumeration DateJuly 30, 2024
NPPES CertifiedJuly 30, 2024
✔ NPI 1497584346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
10 PETERBORO ST, Detroit, MI 48201
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Secondary Practice Location 1

Location 11240 3rd StDetroit, MI 48226-2505 · Phone (313) 831-3160

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.

MR. AARON LEWIS VARDIMAN LLMSW
Social Worker (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Wayne County (313) 831-3160
MS. TARA MARIE DUPUIS LMSW
Social Worker (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Wayne County (313) 833-6335
KENNETH LADON WILLIAMS RSST
Social Worker (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Wayne County (313) 831-3160
MRS. MARY CATHERINE SCANLON-WILLIAMS LMSW, ACSW
Social Worker (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Wayne County (313) 831-3160
DR. MORGAN JANAY PELL PSYD
Psychologist (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Wayne County (313) 831-3160
MR. LARRY WILLIS COLSTON LMSW,ACSW
Social Worker (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Wayne County (313) 831-3160
MRS. BARBARA ANN DAY LBSW
Social Worker (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Wayne County (313) 831-3160
MR. MICHAEL EUGENE JOHNSON LCSW
Social Worker (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Wayne County (313) 831-3160

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 Roderick Gillison's NPI number?

The NPI number for Roderick Gillison is 1497584346. It was assigned to this individual provider in the NPPES registry on July 30, 2024.

Where is Roderick Gillison located?

Roderick Gillison practices at 10 Peterboro St, Detroit, MI 48201. The listed phone number is (313) 831-3160.

What is Roderick Gillison's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Roderick Gillison was last updated on July 30, 2024. 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.