Individual provider Active NPI

Laurie M Dickson-Gillespie I, PH.D.

  • School Psychologist
  • Upland, CA
National Provider Identifier
1881740694
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PSY20914CAMDClinical Child & Adolescent Psychologist
050061433CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.