GREGORY LEO GULLICKSON (NPI# 1023120276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023120276 |
| Entity Type | Individual |
| Full Name | GREGORY LEO GULLICKSON |
| Credential | PH D |
| Practice Address |
7 Stuit Hall Iowa City IA 52242 |
| Mailing Address |
W311 Seashore Hall Iowa City IA 52242 |
| Practice Telephone | 3193352467 |
| Practice Fax Number | 3193532919 |
| Mailing Telephone | 3193352468 |
| Mailing Fax Number | 3193532919 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
00772 | IA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BCBS IA | 31191 | 01 |
| Street Address |
7 STUIT HALL |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407975261 | State University of Iowa | Psychologist | 7 Stuit Hall, Iowa City, IA 52242 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992822670 | Lanaya Lynn Ethington | Psychologist | 720 S Dubuque St Ste 1, Iowa City, IA 52240-4242 | 2007-03-26 |
| 1114038635 | Sarah Fraley | Psychologist | 601 Hwy 6 West/116cc, Iowa City Vamc, Iowa City, IA 52246 | 2006-08-31 |
| 1598709214 | Mary Datson Eggert | Psychologist | Va Medical Center, Psychology 116b, Highway 6 East, Iowa City, IA 52246 | 2006-06-15 |
| 1831156173 | Alison K Milburn | Psychologist | 325 E Washington St, Ste 301, Iowa City, IA 52240 | 2006-04-28 |
| 1891784591 | Lauri Jo Lehn | Psychologist | 209 East Washington St, Suite 202, Iowa City, IA 52240-3928 | 2005-10-17 |
| 1982170890 | Tracy M Ksiazak | Psychologist | 600 Blank Honors Ctr, Iowa City, IA 52242-0454 | 2018-10-18 |
| 1538691316 | John Westefeld | Psychologist | 2412 Towncrest Dr, Iowa City, IA 52240-6622 | 2017-03-30 |
| 1235593252 | State University of Iowa | Psychologist | 3223 Westlawn S, Iowa City, IA 52242-1102 | 2016-04-06 |
| 1194122127 | Eva G Schoen | Psychologist | 200 Hawkins Dr, Dept of Psychiatry 2941 Jpp, Iowa City, IA 52242-1009 | 2014-11-19 |
| 1134407422 | Kayla Nicole Mckibben | Psychologist | 601 Highway 6 W, Iowa City, IA 52246-2209 | 2011-08-03 |
| Find all providers in IOWA CITY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.