Active NPI
Amreeta Gill, PSYD
- Clinical Psychologist
- Saint Joseph, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301017820
- Practice address
- 415 Main St Ste a
Saint Joseph, MI 49085-3100 - Phone
- (269) 408-1688
- NPI assigned
- Jul 15, 2014
- Last updated
- Oct 9, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301017820 | MI | Primary |
| Clinical Psychologist | 103TC0700X | 33042 | CA |
Addresses
Primary practice location
415 Main St Ste a
Saint Joseph, MI 49085-3100
Mailing address
415 Main St Ste a
Saint Joseph, MI 49085-3100
Phone (269) 408-1688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1030 Miners Rd
Saint Joseph, MI 49085-9709
415 Main St
Suite a
Saint Joseph, MI 49085-3100
Phone (269) 408-1688
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Specialties, PLC | Clinical | Current | Accepting new patients |
Locations
1030 Miners Rd
Saint Joseph, MI 49085
Phone (269) 408-1688
415 Main St
Ste A
Saint Joseph, MI 49085
Phone (269) 408-1688
Interoperability endpoints
- amreeta.gill.1@27120.direct.athenahealth.com
- https://api.platform.athenahealth.com/27120/brand/1/csg/1/fhir/r4
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": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665273600000",
"number": "1770990392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 MAIN ST STE A",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490853100",
"telephone_number": "269-408-1688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 MAIN ST STE A",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490853100",
"telephone_number": "269-408-1688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "AMREETA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2022-10-09",
"certification_date": "2022-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301017820",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "33042",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.