Active NPI
Patricia A Gillette, PHD
- Cognitive & Behavioral Psychologist
- Tucson, AZ
National Provider Identifier
1730161225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 5525
- Practice address
- 3515 S Fifth Street
Tucson, AZ 85707-6004 - Phone
- (520) 451-2232
- NPI assigned
- Nov 18, 2005
- Last updated
- Aug 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | ||
| Adult Development & Aging Psychologist | 103TA0700X | 5255 | OH | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 5525 | OH | Primary |
| Counseling Psychologist | 103TC1900X | 5525 | OH | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 5525 | OH | |
| Marriage & Family Therapist | 106H00000X | NU |
Addresses
Primary practice location
3515 S Fifth Street
Tucson, AZ 85707-6004
Mailing address
3515 S 5TH St
Tucson, AZ 85743
Phone (520) 451-2232
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5525 | OH | MD | Counseling Psychologist |
| 5255 | OH | MD | Home Modifications Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Psychological Services LTD | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1730161225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 S 5TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85743",
"telephone_number": "520-451-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 S FIFTH STREET",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857076004",
"telephone_number": "520-451-2232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLETTE",
"first_name": "PATRICIA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2023-08-08",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "OH",
"license": "5255",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "OH",
"license": "5525",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "OH",
"license": "5525",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "OH",
"license": "5525",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.