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DR. SUPRIA K. GILL PHD
NPI 1720599475
Psychologist - Health in Vacaville, CA

Active since October 21, 2017PECOS Enrolled
1 QUALITY DR, VACAVILLE, CA 95688(707) 624-2794 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2022, Oct 21, 2017 (2 updates tracked since 2017).

About Dr. Supria K. Gill Phd NPPES

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

DR. SUPRIA K. GILL PHD (NPI 1720599475) is an individual health provider in Vacaville, California, licensed in California (PSY29402) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720599475
Entity TypeIndividualFemale
Primary Taxonomy103TH0004X
Provider Legal NameDR. SUPRIA K. GILLCredential: PHD
Location Address1 QUALITY DRVacaville, CA 95688-9494
Mailing Address1 Quality DrVacaville, CA 95688-9494 · (707) 624-2794
Phone(707) 624-2794
Sole ProprietorNo
Enumeration DateOctober 21, 2017
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
✔ NPI 1720599475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · HealthBehavioral Health & Social Service Providers
Taxonomy Code103TH0004X
License✔ Licensed in CA · PSY29402
Definition
A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:
1 QUALITY DR, Vacaville, CA 95688
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Supria K. Gill Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DONALD BRADNER WARD CRNA
Nurse Anesthetist, Certified Registered
1 QUALITY DR
VACAVILLE, CA 95688
Solano County (707) 624-4207
MS. ELAINE GARDNER PT
Physical Therapist
1 QUALITY DR
VACAVILLE, CA 95688
Solano County (707) 624-4000
SAMANTHA LYNN TORRES-RAMONDO
Respiratory Therapist, Registered
1 QUALITY DR
VACAVILLE, CA 95688
Solano County (707) 624-1850
WES R WILTSE DO
Physical Medicine & Rehabilitation
1 QUALITY DR, B36
VACAVILLE, CA 95688
Solano County (707) 684-3840
MRS. NATALIA FELDMAN OTR/L
Occupational Therapist
1 QUALITY DR
VACAVILLE, CA 95688
Solano County (707) 624-4000
ANKUR NITIN KAPADIA MD
Family Medicine
1 QUALITY DR
VACAVILLE, CA 95688
Solano County (707) 624-4000
KAISER PERMANENTE
Clinic/Center (Adult Mental Health)
1 QUALITY DR
VACAVILLE, CA 95688
Solano County (707) 624-2600
DR. WILLIAM F STAHLBERGER OD
Optometrist
1 QUALITY DR
VACAVILLE, CA 95688
Solano County (707) 624-2720

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 Supria Gill's NPI number?

The NPI number for Supria Gill is 1720599475. It was assigned to this individual provider in the NPPES registry on October 21, 2017.

Where is Supria Gill located?

Supria Gill practices at 1 Quality Dr, Vacaville, CA 95688. The listed phone number is (707) 624-2794.

What is Supria Gill's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

Is Supria Gill enrolled in Medicare?

Yes. Supria Gill is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Supria Gill was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.