DR. ROY GILLILAND (NPI# 1295700680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295700680 |
Entity Type | Individual |
Full Name | DR. ROY GILLILAND |
Credential | PHD |
Practice Address |
15040 Ravinia Ave Suite 44 Orland Park IL 60462 |
Mailing Address |
Po Box 1111 Tinley Park IL 60477 |
Practice Telephone | 7088571221 |
Practice Fax Number | 7086147001 |
Mailing Telephone | 7088571221 |
Mailing Fax Number | 7086147001 |
Enumeration Date | 2006-02-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 103G00000X | Clinical Neuropsychologist | IL | Behavioral Health & Social Service Providers | |
X | 103T00000X | Psychologist | IL | Behavioral Health & Social Service Providers |
Street Address |
15040 RAVINIA AVE SUITE 44 |
City | ORLAND PARK |
State | IL |
Zip Code | 60462 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083257331 | Stephanie Slager | Behavioral Analyst | 8430 W 135th St., Orland Park, IL 60462 | 2019-10-18 |
1730652587 | Nancy Lynch | Speech-Language Pathologist | 15100 S 94th Ave Orland School District 135, Orlond Park, IL 60462 | 2019-01-04 |
1932681327 | Alyssa Avant | Speech-Language Pathologist | 8851 W 151st St, Orland Park, IL 60462 | 2018-08-31 |
1922588110 | Pain Specialists of Greater Chicago S C | Pain Medicine | 15300 West Ave Ste C213, Orland Park, IL 60462 | 2018-08-16 |
1689168478 | S- R&r Counseling Inc. | Counselor | 9750 Crescent Park Cir Unit 306, Orland Park, IL 60462 | 2018-06-15 |
1104372952 | Amy Blanks | Nurse Anesthetist, Certified Registered | 13959 95th Avenue, Orland Park, IL 60462 | 2016-08-31 |
1740632454 | Anna S Wang | Optometrist | 14494 John Humphrey Dr, Orland Park, IL 60462 | 2016-07-06 |
1750739793 | Carolyn Sluis | Pharmacist | 9352 W 159th Street, Orland Park, IL 60462 | 2016-06-01 |
1164882262 | Caring Hands Group Home of Il, Inc. | Community/Behavioral Health | 14475 John Humphrey Dr., Orland Park, IL 60462 | 2016-03-02 |
1639539760 | Frazierworks Community Care, Inc. | In Home Supportive Care | 14475 John Humphrey Dr Suite 300, Orland Park, IL 60462 | 2016-03-02 |
Find all providers in zip 60462 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699054551 | Tai Wun Park | Clinical Neuropsychologist | 15024 Castlebar Lane, Orland Park, IL 60462 | 2011-08-10 |
1730470444 | Jamie Walter | Clinical Neuropsychologist | 10730 W 143rd St, Ste 37, Orland Park, IL 60462-1939 | 2011-04-28 |
1487829867 | Jacqueline Grace Rea | Clinical Neuropsychologist | 10730 W 143rd St Ste 37, Orland Park, IL 60462-1940 | 2008-04-25 |
1750413126 | Valerie L. Scaramella-nowinski | Clinical Neuropsychologist | 16001 108th Ave Ste 2, Orland Park, IL 60467-8789 | 2007-03-12 |
1659824928 | Lauren Crisanti | Clinical Neuropsychologist | 10730 W 143rd St Ste 37, Orland Park, IL 60462-1940 | 2016-08-03 |
1609267251 | Neuropsychology Diagnostic Center LLC. | Clinical Neuropsychologist | 16001 108th Ave Ste 2, Orland Park, IL 60467-8788 | 2015-02-17 |
1003217571 | Jessica Paxton | Clinical Neuropsychologist | 10730 W 143rd St Ste 37, Orland Park, IL 60462-1940 | 2014-09-15 |
1184960304 | Darrin Aase | Clinical Neuropsychologist | 10730 W 143rd St, Suite 37, Orland Park, IL 60462-1939 | 2012-12-15 |
1447508072 | Keifer Neuropsychology, LLC | Clinical Neuropsychologist | 10730 W 143rd St, Suite 37, Orland Park, IL 60462-1939 | 2012-08-29 |
1336472943 | Michelle Renee Myers | Clinical Neuropsychologist | 11231 Distinctive Dr, Orland Park, IL 60467-9458 | 2009-09-14 |
Find all providers in ORLAND PARK |
City | ORLAND PARK |
Zip Code | 60462 |
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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.