Michael Harold Gillaspie, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

408 Issued in NE

Practice address

4102 Woolworth Ave
Community Mental Health Center
Omaha, NE 68105-1851

Phone

(402) 444-7931

Fax

(402) 444-6338

NPI assigned

Mar 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Douglas County NebraskaGroup PAC ID 3375440936, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Douglas County Nebraska

  dba Douglas County Community Mental Health Center

  • Psychiatric Hospital
  • Omaha, NE
  • NPI 1023019718
  Medicare reassignment Care Compare group NPD
• Douglas County Nebraska

  dba Douglas County Health Center

  • Assisted Living Facility
  • Omaha, NE
  • NPI 1194827550
  NPD
• Responsive Management Clinic, Inc.

  dba Responsive Centers

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Overland Park, KS
  • NPI 1164512562
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972633527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 WOOLWORTH AVE",
            "address_2": "COMMUNITY MENTAL HEALTH CENTER",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051851",
            "telephone_number": "402-444-7931",
            "fax_number": "402-444-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 WOOLWORTH AVE",
            "address_2": "COMMUNITY MENTAL HEALTH CENTER",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051851",
            "telephone_number": "402-444-7931",
            "fax_number": "402-444-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLASPIE",
        "first_name": "MICHAEL",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patthicha Gill, PHARM. D.
• Shshawna Gill
• Laney Lynn Gillard
• Dianne Gillaspie, PT
• Elizabeth Gillaspie, LIMHP, LCSW
• Mercedes Nicole Gilleland
• Michelle Gillen
• Jodie Giller, MA CCC-SLP
• Deborah Gilles, LMT, PTA
• Donald S Gillespie, LADC

• Clinical Psychologist in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinical Psychologist in Nebraska

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.