Active NPI
Tara Gilhooly, PH.D.
- Clinical Psychologist
- Valhalla, NY
National Provider Identifier
1073055406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 022163-1
- Practice address
- 100 Woods Rd
Valhalla, NY 10595-1530 - Phone
- (914) 493-7000
- NPI assigned
- Nov 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS018072 | PA | |
| Clinical Psychologist | 103TC0700X | 022163-1 | NY | Primary |
Addresses
Primary practice location
100 Woods Rd
Valhalla, NY 10595-1530
Mailing address
100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-1753
Other practice location 1
3900 Woodland Ave
VA Medical Center, 2nd floor MIRECC
Philadelphia, PA 19104-4551
Phone (215) 823-5800 ext. 7447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 27, 2023 through Jan 27, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS018072 | PA | MD | Clinical Psychologist |
| 022163-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559865600000",
"number": "1073055406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WOODS RD",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951530",
"telephone_number": "914-493-1753",
"fax_number": "914-493-7089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WOODS RD",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951530",
"telephone_number": "914-493-7000"
}
],
"practiceLocations": [
{
"address_1": "3900 Woodland Ave",
"address_2": "VA Medical Center, 2nd floor MIRECC",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044551",
"country_code": "US",
"telephone_number": "215-823-5800 x7447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILHOOLY",
"first_name": "TARA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-16",
"last_updated": "2019-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS018072",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "022163-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.