Allan Gillis

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1528 Issued in MA

Practice address

234 W Center St
Suite 15
West Bridgewater, MA 02379-1633

Phone

(508) 583-9355

Fax

(508) 583-9333

NPI assigned

Mar 6, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Woman at the Well, Inc

  • Mental Health Counselor
  • Taunton, MA
  • NPI 1265987580
  NPD (past)

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1912447376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 W CENTER ST",
            "address_2": "SUITE 15",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791633",
            "telephone_number": "508-583-9355",
            "fax_number": "508-583-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 W CENTER ST",
            "address_2": "SUITE 15",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791633",
            "telephone_number": "508-583-9355",
            "fax_number": "508-583-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "ALLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "1528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sinead Foley
• Chamandre J Fortunat
• Selina Foster, FNP-BC
• Jamie Fournier, DVM
• Katherine Frick
• Brooke Gilmore
• Sarah M Goldman-Smith, PT
• Briana Golob
• Katherine Gorman
• Candice Greene, NP

• Addiction (Substance Use Disorder) Counselor in West Bridgewater, MA
• Providers in West Bridgewater, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.