Active NPI
Laurie M Dickson-Gillespie I, PH.D.
- School Psychologist
- Upland, CA
National Provider Identifier
1881740694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 545 N Mountain Ave Ste 201
Upland, CA 91786-5055 - Phone
- (909) 946-1326
- Fax
- (909) 946-1946
- NPI assigned
- Jan 26, 2007
- Last updated
- Sep 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 Child & Adolescent Psychologist | 103TC2200X | PSY20914 | CA | |
| School Psychologist | 103TS0200X | CA | Primary |
Addresses
Primary practice location
545 N Mountain Ave Ste 201
Upland, CA 91786-5055
Mailing address
1794 W 7TH St
San Bernardino, CA 92411-2459
Phone (909) 888-1199
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY20914 | CA | MD | Clinical Child & Adolescent Psychologist |
| 050061433 | CA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restorative Psychological LLC | Clinical Child & Adolescent | Current | Accepting new patients |
| Aubrey King ,MD Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Child & Adolescent Psychologist
- Simpsonville, SC
- NPI 1669322798
-
- Adolescent and Children Mental Health Clinic/Center
- Upland, CA
- NPI 1316125081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788652800000",
"number": "1881740694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1794 W 7TH ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924112459",
"telephone_number": "909-888-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 N MOUNTAIN AVE STE 201",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865055",
"telephone_number": "909-946-1326",
"fax_number": "909-946-1946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKSON-GILLESPIE",
"first_name": "LAURIE",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2026-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY20914",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.