Carrie B Gillett, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

4301099001 Issued in MI

Practice address

409 Plymouth Rd Ste 124
Plymouth, MI 48170-4080

Phone

(734) 600-8924

Fax

(734) 201-1939

NPI assigned

Jun 16, 2011

Last updated

Nov 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 7, 2020 through Dec 7, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: cgillett24160@direct.med.umich.edu

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1013202068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PLYMOUTH RD STE 124",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704080",
            "telephone_number": "734-600-8924",
            "fax_number": "734-201-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 PLYMOUTH RD STE 124",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704080",
            "telephone_number": "734-600-8924",
            "fax_number": "734-201-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLETT",
        "first_name": "CARRIE",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301099001",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301099001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Gilbert
• Quintin Gilbert
• Kathleen Gilbertson
• Heather Jean Gillespie
• Kayla Gillespie
• Gingell Chiropractic Center PC
• Nicholas John-Edward Gingell, DC
• Hope Riley Gintner
• Alyssa Nicole Giordano, BCBA
• Caroline Giraldo

• Child & Adolescent Psychiatry Physician in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Child & Adolescent Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.