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Individual provider Active NPI

Daniel W Gillette, MD

  • Child & Adolescent Psychiatry Physician
  • Sioux City, IA
National Provider Identifier
1053376475
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
33159 Issued in IA
Practice address
3549 Southern Hills Dr
Sioux City, IA 51106-4736
Phone
(712) 274-6729
Fax
(712) 274-6744
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 33159 IA
Child & Adolescent Psychiatry Physician 2084P0804X 33159 IA Primary

Addresses

Primary practice location

3549 Southern Hills Dr
Sioux City, IA 51106-4736

Mailing address

3549 Southern Hills Dr
Sioux City, IA 51106-4736
Phone (712) 274-6729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070717000206 IA Practitioner - Psychiatry 5799885919 Reassigns benefits to 4 organizations
I20180102000190 NE Practitioner - Psychiatry 5799885919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Kansas School of Med (KC/Wich/Sal), 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Plains Area Mental Health IncGroup PAC ID 5395649743, 24 clinicians
Rodney J Dean MD, PCGroup PAC ID 8628060654, 7 clinicians

Practice addresses (Care Compare)

180 10TH St SE
Suite 201
Le Mars, IA 51031-2557
Phone (712) 546-4624

3549 Southern Hills Dr
Sioux City, IA 51106-4736
Phone (712) 274-6729

Hospital & facility affiliations

  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
  • Providence Medical Center Hospital, Wayne, NE, CCN 281345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33159IAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plains Area Mental Health, Inc. CurrentSince Oct 2, 2019 Accepting new patients
Plains Area Mental Health, Inc. CurrentSince Oct 2, 2019 Accepting new patients
Providence Medical Center CurrentSince Dec 18, 2017 Accepting new patients
Providence Medical Center CurrentSince Dec 18, 2017 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Ven Mental Health and TMS Clinic LLC Psychiatry PastSince Jul 9, 2025 Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients

Locations

180 10th St SE
Ste 201
Le Mars, IA 51031
Phone 7125464624 ext. 2108

1200 Providence Rd
Wayne, NE 68787
Phone (402) 375-3800

Interoperability endpoints

  • Direct secure messaging: dgillette97925@direct.unitypoint.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1053376475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 SOUTHERN HILLS DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064736",
            "telephone_number": "712-274-6729",
            "fax_number": "712-274-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3549 SOUTHERN HILLS DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064736",
            "telephone_number": "712-274-6729",
            "fax_number": "712-274-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLETTE",
        "first_name": "DANIEL",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "33159",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IA",
            "license": "33159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.