Courtney L Gillis, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2890 Carpenter Rd Ste 1100
Ann Arbor, MI 48108

Phone

(810) 599-4816

NPI assigned

Apr 26, 2018

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

Other names 1

• Courtney L Healy Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1750879607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 663",
            "city": "LAKELAND",
            "state": "MI",
            "postal_code": "481430663",
            "telephone_number": "810-559-2129",
            "fax_number": "586-228-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 CARPENTER RD STE 1100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "810-599-4816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51145 Nicolette Dr",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MI",
            "postal_code": "48047",
            "country_code": "US",
            "telephone_number": "586-256-0365",
            "fax_number": "586-228-9902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51145 Nicolette Dr",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MI",
            "postal_code": "48047",
            "country_code": "US",
            "telephone_number": "586-256-0365",
            "fax_number": "586-228-9902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "COURTNEY",
        "middle_name": "L",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "HEALY",
            "middle_name": "L",
            "credential": "BCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Danielle Nicole Gilliam
• Elizabeth Gilliam, MD
• Sasha Gilliam
• Todd Gillihan, O.D.
• Bailey Gillim, PA
• Margaret E Gillis, MD
• Mary Katherine Gillis, M.S.
• Brooke Gillispie
• Stephanie Catherine Gillman, PA-C
• Jacquelyn Gillum

• All providers in Ann Arbor, MI
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.