DR. MARTHA LOUISE GILMORE PHD
NPI 1679684575
Psychologist - Group Psychotherapy in Davis, CA

Active since August 31, 2006Opted out of Medicare · through Jan 1, 2028
1621 OAK AVE, STE B, DAVIS, CA 95616(530) 757-6861(530) 753-0636 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Martha Louise Gilmore Phd NPPES

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

DR. MARTHA LOUISE GILMORE PHD (NPI 1679684575) is an individual group psychotherapy provider in Davis, California, licensed in California (PSY10451) and active in the NPI registry since August 2006. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1679684575
Entity TypeIndividualFemale
Primary Taxonomy103TP2701X
Provider Legal NameDR. MARTHA LOUISE GILMORECredential: PHD
Location Address1621 OAK AVE, STE BDavis, CA 95616-1000
Mailing Address1621 Oak Ave, Ste BDavis, CA 95616-1000 · (530) 757-6861 · Fax (530) 753-0636
Fax(530) 753-0636
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1679684575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · Group PsychotherapyBehavioral Health & Social Service Providers
Taxonomy Code103TP2701X
License Licensed in CA · PSY10451
Definition

A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

Also ListedPsychologistTaxonomy 103T00000X · License PSY10451 (CA)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY10451 (CA)
1621 OAK AVE, Davis, CA 95616

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Martha Louise Gilmore Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

Dentist (General Practice)
1621 OAK AVE, SUITE A
DAVIS, CA 95616
Dentist (General Practice)
1621 OAK AVE, SUITE A
DAVIS, CA 95616
Counselor (Mental Health)
1621 OAK AVE, SUITE B
DAVIS, CA 95616
Psychologist
1621 OAK AVE, SUITE B
DAVIS, CA 95616
Marriage & Family Therapist
1621 OAK AVE, SUITE B
DAVIS, CA 95616
Psychologist (Clinical)
1621 OAK AVE, SUITE B
DAVIS, CA 95616
Psychologist (Clinical)
1621 OAK AVE, SUITE B
DAVIS, CA 95616
Psychologist (Clinical)
1621 OAK AVE
DAVIS, CA 95616

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 Martha Gilmore's NPI number?

The NPI number for Martha Gilmore is 1679684575. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Martha Gilmore located?

Martha Gilmore practices at 1621 Oak Ave Ste B, Davis, CA 95616. The listed phone number is (530) 757-6861.

What is Martha Gilmore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

Is Martha Gilmore enrolled in Medicare?

No. Martha Gilmore has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Martha Gilmore was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.