Christine Gilliss, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00854900 Issued in NJ

Practice address

67 W Walnut Ave
Merchantville, NJ 08109-2383

Phone

(856) 397-8979

NPI assigned

Apr 7, 2025

Sex

Female

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)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Busy Bee Aac LLC

  • Speech-Language Pathologist
  • Merchantville, NJ
  • NPI 1114717469

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1245024140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 W WALNUT AVE",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092383",
            "telephone_number": "856-397-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 W WALNUT AVE",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092383",
            "telephone_number": "856-397-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLISS",
        "first_name": "CHRISTINE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00854900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl C Dunican-Hein, L.C.S.W.
• Annie Nicole Fisher, LCSW
• Keely Fruin
• Gilliss Family Care,LLC
• Adam C. Gilliss, D.O.
• Bruce D Gooberman, MD
• Lance L Gooberman, M.D.
• Gregory Hample
• Hands of Healing and Harmony LLC
• Esther R Harris, MD

• Speech-Language Pathologist in Merchantville, NJ
• Providers in Merchantville, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.