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DR. THERESA ELAINE GILMORE PH.D.
NPI 1548356363
Psychologist - Clinical in Brookline, MA

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
1683 BEACON ST, BROOKLINE, MA 02445(617) 461-6936(617) 353-5539 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Theresa Elaine Gilmore Ph.d. NPPES

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

DR. THERESA ELAINE GILMORE PH.D. (NPI 1548356363) is an individual clinical provider in Brookline, Massachusetts, licensed in Massachusetts (7990) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1548356363
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. THERESA ELAINE GILMORECredential: PH.D.
Location Address1683 BEACON STBrookline, MA 02445-4495
Mailing Address1683 Beacon StBrookline, MA 02445-4495 · (617) 461-6936 · Fax (617) 353-5539
Phone(617) 461-6936
Fax(617) 353-5539
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 5, 2006
Last NPPES UpdateNovember 7, 2023
NPPES CertifiedNovember 7, 2023
✔ NPI 1548356363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in MA · 7990✔ Licensed in NH · 989✔ Licensed in NM · PSY-2023-0082
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.
1683 BEACON ST, Brookline, MA 02445
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Other Identifiers 3

Other2053338MA · Cigna Provider #
OtherW06227MA · Blue Cross Blue Shield #
Other7813643MA · Aetna Provider #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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. Theresa Elaine Gilmore 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 ID1153336748
PECOS Enrollment IDI20060220000029
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 02445 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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

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

SARAH VASILIAUSKAS PSY.D.
Psychologist (Clinical)
1683 BEACON ST
BROOKLINE, MA 02445
Norfolk County (207) 351-6187

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 Theresa Gilmore's NPI number?

The NPI number for Theresa Gilmore is 1548356363. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Theresa Gilmore located?

Theresa Gilmore practices at 1683 Beacon St, Brookline, MA 02445. The listed phone number is (617) 461-6936.

What is Theresa Gilmore's specialty?

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

Is Theresa Gilmore enrolled in Medicare?

Yes. Theresa Gilmore 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 Theresa Gilmore accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Theresa Gilmore 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 Theresa Gilmore was last updated on November 7, 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.