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MARTHA M GILLIS PH.D.
NPI 1871657080
Psychologist - Clinical in Fairfax, VA

Active since December 21, 2006
11166 FAIRFAX BLVD, SUITE 203, FAIRFAX, VA 22030(703) 819-8445 Get Directions Write a Review

NPPES record last updated: November 29, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Martha M Gillis Ph.d. NPPES

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

MARTHA M GILLIS PH.D. (NPI 1871657080) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0810003445) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1871657080
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMARTHA M GILLISCredential: PH.D.
Location Address11166 FAIRFAX BLVD, SUITE 203Fairfax, VA 22030-5017
Mailing Address11166 Fairfax Blvd, Suite 203Fairfax, VA 22030-5017 · (703) 819-8445
Phone(703) 819-8445
Sole ProprietorYes
Enumeration DateDecember 21, 2006
Last NPPES UpdateNovember 29, 2011
✔ NPI 1871657080 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 VA · 0810003445
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.
11166 FAIRFAX BLVD, Fairfax, VA 22030
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Other Providers at the Same Location NPPES 15

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

JENGO HEALTHCARE SERVICES LLC
In Home Supportive Care
11166 FAIRFAX BLVD
FAIRFAX, VA 22030
Fairfax City (571) 307-0607
NOVA MEDICAL TRANSPORT LLC
Non-emergency Medical Transport (VAN)
11166 FAIRFAX BLVD
FAIRFAX, VA 22030
Fairfax City (703) 201-9118
LAUREN DUKES LCSW, LICSW
Social Worker (Clinical)
11166 FAIRFAX BLVD
FAIRFAX, VA 22030
Fairfax City (571) 386-2179
BETTER LIFE PAIN CLINIC, PLLC
Physical Medicine & Rehabilitation (Pain Medicine)
11166 FAIRFAX BLVD, SUITE 105
FAIRFAX, VA 22030
Fairfax City (703) 277-3360
HYOSUN SCHLUGE
Nurse Practitioner (Family)
11166 FAIRFAX BLVD, #105
FAIRFAX, VA 22030
Fairfax City (703) 277-3360
DR. SU MIN KO M.D.
Pain Medicine (Interventional Pain Medicine)
11166 FAIRFAX BLVD, SUITE 105
FAIRFAX, VA 22030
Fairfax City (703) 277-3360
ROYAL EXPRESS TRANSPORTATION LLC
Non-emergency Medical Transport (VAN)
11166 FAIRFAX BLVD
FAIRFAX, VA 22030
Fairfax City (202) 510-8968
IKECHUKWU ONYENEKWU
Non-emergency Medical Transport (VAN)
11166 FAIRFAX BLVD
FAIRFAX, VA 22030
Fairfax City (202) 510-8968

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 Gillis's NPI number?

The NPI number for Martha Gillis is 1871657080. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Martha Gillis located?

Martha Gillis practices at 11166 Fairfax Blvd Suite 203, Fairfax, VA 22030. The listed phone number is (703) 819-8445.

What is Martha Gillis's specialty?

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

When was this NPI record last updated?

The NPPES record for Martha Gillis was last updated on November 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.