Dennis John McKillop, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8844 Issued in NY

Practice address

6834 East Genesee Street
Fayetteville, NY 13066

Phone

(315) 446-3292

Fax

(315) 703-2880

NPI assigned

Oct 3, 2006

Last updated

Nov 26, 2013By the provider in NPPES

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1043305691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BROOKSIDE LANE",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661509",
            "telephone_number": "315-637-5985",
            "fax_number": "315-703-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6834 EAST GENESEE STREET",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "13066",
            "telephone_number": "315-446-3292",
            "fax_number": "315-703-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKILLOP",
        "first_name": "DENNIS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "8844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne M McCawley, PT
• Sheila McGuire, NP
• Ashley Lynn McIntosh, NP
• Errol S McKenzie, MD
• Francis P McKevitt, DDS
• Kristen Ann McNamara, MD.
• Elizabeth Humphrey McNany, MD.
• Patricia Susan McNulty, LCSW
• Medical Weight Loss of New York, PLLC
• Rebecca Julia Migenes, MSW

• Clinical Psychologist in Fayetteville, NY
• Providers in Fayetteville, 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 Nov 26, 2013; 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.