John Joseph Gillick, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6284 Issued in NY

Practice address

375 Linwood Ave
Buffalo, NY 14209-1607

Phone

(716) 881-4664

Fax

(716) 882-6113

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1033137401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 LINWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091607",
            "telephone_number": "716-881-4664",
            "fax_number": "716-882-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 LINWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091607",
            "telephone_number": "716-881-4664",
            "fax_number": "716-882-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLICK",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "6284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Praneet Singh Gill, M.B.B.S.
• John Arthur Gillespie, M.D.
• Kristal Gillette
• Jala Nicole Gilliam, DPT, PT
• Kayla Gilliam
• Kathryn Gillies, NP
• Colleen Gilliland
• Victoria Regina Gillison, MSW
• Cynthia Gillogly, RD
• Jennifer Gilmore, D.C.

• Clinical Psychologist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.