Gill Forensic Services, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GILL FORENSIC SERVICES, LLC

Practice address

125 Park Ave
New York, NY 10017-5529

Phone

(646) 477-1516

NPI assigned

Aug 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Shelly Nycole Gill, PHD

Title

Forensic Death and Psych Examiner

Phone

(845) 521-8321

Specialties & licenses 4

Addresses

Other names 1

• Dr. Shelly Gill Other name

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1952777187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 OVERLOOK CIR",
            "city": "PIERMONT",
            "state": "NY",
            "postal_code": "109681288",
            "telephone_number": "845-680-6746",
            "fax_number": "845-680-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175529",
            "telephone_number": "646-477-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILL FORENSIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "NYCOLE",
        "authorized_official_title_or_position": "FORENSIC DEATH AND PSYCH EXAMINER",
        "authorized_official_telephone_number": "845-521-8321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Shelly Gill",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sean Michael Gilhooley
• June Gilhooly
• Dinesh Giliyar, M.D.
• Laurie D. Gilkes, LCSW,BCD
• Linda Gilkes, CASAC-T
• Emma Zoe Gill-Cooke, PA-C
• Amanda Leanne Gill
• Ariel Gill, MHC
• Ashley Temarah Gill, RN
• Brian John Andrew Gill, MD

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.