Active NPI
John Vaughn Gilmore Jr., PH.D.
- Forensic Psychologist
- Taunton, MA
National Provider Identifier
1881745594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 4738
- Practice address
- 60 Hodges Ave
Taunton State Hospital
Taunton, MA 02780-3034 - Phone
- (508) 977-3267
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 4738 | MA | Primary |
Addresses
Primary practice location
60 Hodges Ave
Taunton State Hospital
Taunton, MA 02780-3034
Mailing address
60 Hodges Ave
Taunton State Hospital
Taunton, MA 02780-3034
Phone (508) 977-3267
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 Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881745594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 HODGES AVE",
"address_2": "TAUNTON STATE HOSPITAL",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027803034",
"telephone_number": "508-977-3267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HODGES AVE",
"address_2": "TAUNTON STATE HOSPITAL",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027803034",
"telephone_number": "508-977-3267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "JOHN",
"middle_name": "VAUGHN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "MA",
"license": "4738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.