Maxine W Gilner, PH.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

300014 Issued in MO

Practice address

620 E Monroe Ave
Kirkwood, MO 63122-6320

Phone

(314) 966-5631

Fax

(314) 835-1172

NPI assigned

Dec 27, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649335878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E MONROE AVE",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226320",
            "telephone_number": "314-966-5631",
            "fax_number": "314-835-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E MONROE AVE",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226320",
            "telephone_number": "314-966-5631",
            "fax_number": "314-835-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILNER",
        "first_name": "MAXINE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "300014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "300014",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chanin Gellasch, MAC
• Laurence D Gelstein, MD
• Gayla R Gibson, MA, LPC
• Jacqueline Gilliland, MSW, LCSW
• Frank H Gilner, PH.D.
• Christopher Matthew Godinez
• Toni Annette Goins-Crank, D.D.S., M.S.
• Meghan Elizabeth Gray, LBA, BCBA
• Timothy Grayem, DDS
• Greentree Audiology Inc

• Marriage & Family Therapist in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Marriage & Family Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.