Individual provider Active NPI

Paulette M Gillig, MD

  • Psychiatry Physician
  • West Liberty, OH
National Provider Identifier
1891762845
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35045971 Issued in OH
Practice address
1521 N Detroit St
West Liberty, OH 43357-0817
Phone
(937) 465-8065
Fax
(937) 465-3505
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35045971 OH Primary

Addresses

Primary practice location

1521 N Detroit St
West Liberty, OH 43357-0817

Mailing address

PO Box 817
West Liberty, OH 43357-0817
Phone (937) 465-8065

Other identifiers 1

IdentifierTypeStateIssuer
0830266MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35045971OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Behavioral Health Services, Inc. CurrentSince Apr 20, 2014 Accepting new patients
Consolidated Care Inc Past Accepting new patients

Locations

140 Buckeye St
Hamilton, OH 45011
Phone (513) 896-7780

1490 University Blvd
Ste A
Hamilton, OH 45011

1502 University Blvd
Ste D
Hamilton, OH 45011

1490 University Blvd
Hamilton, OH 45011
Phone (513) 867-5400

111 Buckeye St
Hamilton, OH 45011
Phone (513) 867-7628

212 Cook Rd
Lebanon, OH 45036
Phone (513) 695-1354

1131 Manchester Ave
Middletown, OH 45042
Phone (513) 422-4004

1131 Central Ave
Middletown, OH 45044
Phone (513) 422-7016

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bbhs/r4/

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1891762845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 817",
            "city": "WEST LIBERTY",
            "state": "OH",
            "postal_code": "433570817",
            "telephone_number": "937-465-8065",
            "fax_number": "937-465-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 N DETROIT ST",
            "city": "WEST LIBERTY",
            "state": "OH",
            "postal_code": "433570817",
            "telephone_number": "937-465-8065",
            "fax_number": "937-465-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIG",
        "first_name": "PAULETTE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35045971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0830266",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Liberty, OH

Sources for this page

Verify at the official NPI Registry.