Individual provider Active NPI

Breanna N Gile, PH.D.

  • School Psychologist
  • Terre Haute, IN
National Provider Identifier
1265608129
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
1609587 Issued in IN
Practice address
961 Lafayette Ave
Terre Haute, IN 47804-2929
Phone
(812) 462-4364
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 1609587 IN Primary

Addresses

Primary practice location

961 Lafayette Ave
Terre Haute, IN 47804-2929

Mailing address

501 W Olive St
West Terre Haute, IN 47885-1822
Phone (812) 462-4364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1609587INMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1265608129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W OLIVE ST",
            "city": "WEST TERRE HAUTE",
            "state": "IN",
            "postal_code": "478851822",
            "telephone_number": "812-462-4364",
            "fax_number": "812-462-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 LAFAYETTE AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042929",
            "telephone_number": "812-462-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILE",
        "first_name": "BREANNA",
        "middle_name": "N",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "1609587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.