KAREN LEE GILLOCK (NPI# 1518035005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518035005 |
| Entity Type | Individual |
| Full Name | KAREN LEE GILLOCK |
| Credential | PHD |
| Practice Address |
115 Etna Rd Building 1, Suite 2 Lebanon NH 03766-1429 |
| Mailing Address |
Po Box 769 White River Junction VT 05001-0769 |
| Practice Telephone | 6034483588 |
| Practice Fax Number | 6034483583 |
| Mailing Telephone | 6034483588 |
| Mailing Fax Number | 6034483583 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2009-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 943 | NH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | MEDICAID | 1008149 | 01 |
| NH | 30421560 | 05 |
| Street Address |
115 ETNA RD BUILDING 1, SUITE 2 |
| City | LEBANON |
| State | NH |
| Zip Code | 03766-1429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578942629 | Nationwide Sleep Therapy, LLC | Durable Medical Equipment & Medical Supplies | 115 Etna Rd, Build 2, Suite 1, Lebanon, NH 03766-1429 | 2015-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033580345 | Leah E Abrahamsen | Social Worker | 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 | 2015-10-13 |
| 1871982801 | Steps Opioid Addiction Treatment | Clinic/Center | 1 Glen Road, Suite 216, Lebanon, NH 03766 | 2015-01-14 |
| 1811282288 | Lisa Golden Morse | Occupational Therapist | 23 Mahon St, Lebanon, NH 03766 | 2011-06-14 |
| 1750607131 | Timothy Joseph Lin | Orthopaedic Surgery | 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 | 2010-04-11 |
| 1457673857 | Melanie A Baker | Dental Hygienist | One Court Street, Suite 270, Lebanon, NH 03766 | 2010-02-26 |
| 1568613073 | Peter Keith Isquith | Clinical Neuropsychologist | 367 Route 120 Unit B1, Hanover Road Professional Center, Lebanon, NH 03766 | 2008-10-02 |
| 1235317512 | Leslie Sudak | Speech-Language Pathologist | 10 Mascoma St, Lebanon, NH 03766 | 2008-02-08 |
| 1891973269 | Dc Whitfield | Nurse Practitioner | 20 W Park St Ste 418, Lebanon, NH 03766 | 2008-02-07 |
| 1588879951 | Charles R Meyers | Acupuncturist | 2 Whipple Place, Lebanon, NH 03766 | 2007-05-11 |
| 1285859686 | Thomas A Johnston | Dentist | 206 Heater Road, Lebanon, NH 03766 | 2007-04-13 |
| Find all providers in zip 03766 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520065 | Tracey King | Psychologist | 726 E Main St Ste F210, Lebanon, OH 45036-1900 | 2020-05-24 |
| 1164932083 | Kimberly Anne Lovelock | Psychologist | 964 Isabel Dr, Lebanon, PA 17042-7482 | 2017-10-05 |
| 1073731667 | Michael W Mills | Psychologist | Po Box 766, Lebanon, NH 03766-0766 | 2007-04-22 |
| 1255431037 | John Reynolds Fullerton | Psychologist | Va Medical Center (620), 1700 Lincoln Avenue, Lebanon, PA 17042-0000 | 2006-09-22 |
| 1003915786 | Peter J Garito | Psychologist | 94 Norway Ln, Lebanon, PA 17042-9098 | 2006-09-21 |
| 1306942693 | Evergreen Health Center, PC | Psychologist | 1859 S Jefferson Ave, Lebanon, MO 65536-4221 | 2006-09-15 |
| 1265466924 | Linda Julia Lee-dynes | Psychologist | 85 Mechanic St Ste 360, Lebanon, NH 03766-1500 | 2006-07-10 |
| 1194722181 | Roy A Smith Jr. | Psychologist | 200 N. 7th Street, Lebanon, PA 17046-5040 | 2005-07-05 |
| 1235647538 | Michael Jeffrey Itzkowitz | Psychologist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2018-01-21 |
| 1043737208 | Daniel Lloyd | Psychologist | 283 Butler Rd, Lebanon, PA 17042-8939 | 2017-08-28 |
| Find all providers in LEBANON | ||||
Please comment or provide details below to improve the information on KAREN LEE GILLOCK.
| 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.