Gillian Marie Woldorf, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

11023 Issued in MA

Practice address

26 S Prospect St Ste 11
Amherst, MA 01002-2268

Phone

(413) 461-4250

Fax

(413) 259-0303

NPI assigned

Jan 16, 2009

Sex

Female

Sole proprietor

No

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Notch Psychological Services LLC

  • Clinical Psychologist
  • Amherst, MA
  • NPI 1457058984
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1154568848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1277",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010041277",
            "telephone_number": "413-461-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S PROSPECT ST STE 11",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022268",
            "telephone_number": "413-461-4250",
            "fax_number": "413-259-0303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 College St Ste 6",
            "address_purpose": "LOCATION",
            "city": "South Hadley",
            "state": "MA",
            "postal_code": "010751421",
            "country_code": "US",
            "telephone_number": "413-534-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLDORF",
        "first_name": "GILLIAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Gregory Wilburn, D.C.
• Jeanette Anne Wilburn, D.C.
• John Wilinsky, MD
• Latesha Wilkerson
• Brooke Somers Williams
• Chaia Cara Wolf, MSW, LICSW
• Carol Ann Wood
• Peter K Wood, LICSW
• Randy Woodard
• Carolyn Woodworth, LCPC, LMHC

• Clinical Psychologist in Amherst, MA
• Providers in Amherst, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.