Lynne Gillick, PH.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2883 Issued in CO

Legal business name

LYNNE GILLICK, PH.D., P.C.

Practice address

5350 Tomah Dr Ste 3600
Colorado Springs, CO 80918-6903

Phone

(719) 201-4245

NPI assigned

Jul 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lynne Gillick, PH.D.

Title

President Psychologist

Phone

(719) 201-4245

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1184824872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 OLD RIVER DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809248129",
            "telephone_number": "719-201-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 TOMAH DR STE 3600",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186903",
            "telephone_number": "719-201-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNE GILLICK, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "GILLICK",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "PRESIDENT PSYCHOLOGIST",
        "authorized_official_telephone_number": "719-201-4245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Health Science Institute
• Lynn Health Science Institute, Inc.
• Christa Paige Lynn, PA
• Danella Ann Lynn, LMT
• John T Lynn, III, M.D.
• Charles Sterling Lyon, RPH
• Christopher Lyon
• Darian Lyon
• Elizabeth Lyon, OD
• Casey Lyons, D.O.

• Clinical Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.