Mary Katherine Gillis, M.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301013789 Issued in MI

Practice address

2035 Hogback Rd
Suite 207
Ann Arbor, MI 48105-9732

Phone

(734) 972-7202

NPI assigned

Jul 3, 2015

Last updated

Jul 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1750764130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 DEXTER ANN ARBOR RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031483",
            "telephone_number": "734-971-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 HOGBACK RD",
            "address_2": "SUITE 207",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059732",
            "telephone_number": "734-972-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-03",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sasha Gilliam
• Todd Gillihan, O.D.
• Bailey Gillim, PA
• Courtney L Gillis, BCBA
• Margaret E Gillis, MD
• Brooke Gillispie
• Stephanie Catherine Gillman, PA-C
• Jacquelyn Gillum
• Robert Harris Gilman, MD
• Sid Gilman, MD

• Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.