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KIMBERLY CAROLYN JOHNSON GILLIAM D.O. NPI 1154594273


NPI Information

NPI: 1154594273
Provider Name: KIMBERLY CAROLYN JOHNSON GILLIAM, D.O.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Individual

Specialization: Psychiatry

Organization: PRINCETON HOUSE PROVIDER GROUP LLC

PECOS Registration: Yes

Address:
1401 S 4TH ST
PHILADELPHIA, PA
ZIP 19147
Phone: (215) 339-1070
Get Directions

Kimberly Carolyn Johnson Gilliam, D.O. is a psychiatry psychiatry neurology in Philadelphia, PA with 19 years of experience. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. Kimberly Carolyn Johnson Gilliam, D.O. NPI is 1154594273. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2005

The provider's business location address is:

1401 S 4TH ST
PHILADELPHIA, PA
ZIP 19147-948
Phone: (215) 339-1070
Fax: (215) 339-1080

The NPI 1154594273 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/9/2008 and was last updated on 5/22/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramNEW JERSEYNo
22084P0800XPsychiatry & NeurologyPsychiatry25MB08474800NEW JERSEYNo
32084P0800XPsychiatry & NeurologyPsychiatryOS017109PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.