Individual provider Active NPI

Harwant S Gill, MD PHD

  • Psychiatry Physician
  • Stroudsburg, PA
National Provider Identifier
1881614675
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD34102 Issued in DC
Practice address
205 Applegate Rd Ste 1001133
Stroudsburg, PA 18360-6502
Phone
(155) 433-4882
Fax
(215) 543-3488
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD466258 PA
Psychiatry Physician 2084P0800X 0101273678 VA
Psychiatry Physician 2084P0800X 321533 NY
Psychiatry Physician 2084P0800X D0058211 MD
Psychiatry Physician 2084P0800X MD34102 DC Primary

Addresses

Primary practice location

205 Applegate Rd Ste 1001133
Stroudsburg, PA 18360-6502

Mailing address

205 Applegate Rd Ste 1001133
Stroudsburg, PA 18360-6502
Phone (215) 543-3488

Other names 1

  • Harry Gill Other name

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 Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
321533NYMDLicensed Practical Nurse
D0058211MDMDPsychiatry Physician
MD466258PAMDPsychiatry Physician
0101273678VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Healthcare, PLLC Past Accepting new patients
Harry Gill MD PHD PLLC Psychiatry Past Accepting new patients
MCS, PC Psychiatry Past Accepting new patients
HGMD LLC Psychiatry PastSince Jun 21, 2020 Accepting new patients

Organizations & group practices 4

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1881614675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 APPLEGATE RD STE 1001133",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606502",
            "telephone_number": "215-543-3488",
            "fax_number": "155-433-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 APPLEGATE RD STE 1001133",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183606502",
            "telephone_number": "155-433-4882",
            "fax_number": "215-543-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "HARWANT",
        "middle_name": "S",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-03-16",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD466258",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101273678",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "321533",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0058211",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD34102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARRY",
            "last_name": "GILL",
            "credential": "M.D., PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.