Active NPI
Paula Gillon
- Developmental Therapist
- Windsor Mill, MD
National Provider Identifier
1932550837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 50-7499
- Practice address
- 2402 Golders Green CT
Windsor Mill, MD 21244-8083 - Phone
- (443) 414-3082
- NPI assigned
- Jun 22, 2016
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 50-7499 | MD | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
2402 Golders Green CT
Windsor Mill, MD 21244-8083
Mailing address
2402 Golders Green CT
Windsor Mill, MD 21244-8083
Phone (443) 414-3082
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50-7499 | MD | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1932550837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2402 GOLDERS GREEN CT",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212448083",
"telephone_number": "443-414-3082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2402 GOLDERS GREEN CT",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212448083",
"telephone_number": "443-414-3082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLON",
"first_name": "PAULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-22",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "MD",
"license": "50-7499",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor Mill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.