Debra Shapiro Gill, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00434100 Issued in NJ

Practice address

124 E Mount Pleasant Ave
Livingston, NJ 07039-3026

Phone

(973) 820-5174

NPI assigned

Jun 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Healthy Habits Peaceful Mind Therapy, LLC

  • Clinical Psychologist
  • Livingston, NJ
  • NPI 1720977325
  Medicare reassignment NPD Authorized official
• Mindful Self Care Therapy, LLC

  • Psychologist
  • West Orange, NJ
  • NPI 1205594108
  Medicare reassignment NPD Authorized official
• Summit Psychological Services PA

  • Psychologist
  • Summit, NJ
  • NPI 1992893317
  Medicare reassignment NPD
• Healthy Habits Peaceful Mind Therapy, LLC

  • Point of Service
  • Livingston, NJ
  • NPI 1639960164
  NPD Authorized official
• Om Psychological Services

  • Clinical Psychologist
  • Summit, NJ
  • NPI 1073474466
  NPD (past)

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1265669378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 UNDERWOOD DR",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521323",
            "telephone_number": "973-820-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E MOUNT PLEASANT AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393026",
            "telephone_number": "973-820-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "DEBRA",
        "middle_name": "SHAPIRO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NJ",
            "license": "35SI00434100",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00434100",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NJ",
            "license": "35SI00434100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arpita Ghosh, MD
• Theresa Giannattasio, DO
• Paul R Gigante, M.D.
• Joshua Robert Gildin, DO
• Chelsea Giliberti
• Sean Gilvary
• Nicole Vincenza Gingerelli
• Marc Antony Gironda, PSY.D.
• Heather Gittleman, RD,
• Alison R Givner, DDS

• Clinical Psychologist in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.