Active NPI
Ann Eileen Gaulin, MS, LMFT
- Marriage & Family Therapist
- Shillington, PA
National Provider Identifier
1629022439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MF000103
- Practice address
- 122 W Lancaster Ave
Suite 01
Shillington, PA 19607-1881 - Phone
- (610) 246-0679
- Fax
- (610) 775-1020
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MF000103 | PA | Primary |
Addresses
Primary practice location
122 W Lancaster Ave
Suite 01
Shillington, PA 19607-1881
Mailing address
416 Heckle St
Phoenixville, PA 19460-3169
Phone (610) 246-0679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010198050001 | Medicaid | PA |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MF000103 | PA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512000000000",
"number": "1629022439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 HECKLE ST",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194603169",
"telephone_number": "610-246-0679",
"fax_number": "610-775-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 W LANCASTER AVE",
"address_2": "SUITE 01",
"city": "SHILLINGTON",
"state": "PA",
"postal_code": "196071881",
"telephone_number": "610-246-0679",
"fax_number": "610-775-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAULIN",
"first_name": "ANN",
"middle_name": "EILEEN",
"credential": "MS, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2017-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF000103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010198050001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shillington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.