ROBERT WILLSON GILLEN PHD NPI 1245220227

NPI Information

  • NPI: 1245220227
  • Provider Name: ROBERT WILLSON GILLEN, PHD
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 215 WASHINGTON AVENUE EXT
    ALBANY, NY
    ZIP 12205
  • Phone: (518) 452-0914

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NPI Details

Robert Willson Gillen, PHD is a clinical neuropsychologist in Albany, NY. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. Robert Willson Gillen, PHD NPI is 1245220227. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

215 WASHINGTON AVENUE EXT
ALBANY, NY
ZIP 12205-534
Phone: (518) 452-0914
Fax: (518) 452-5953

The NPI 1245220227 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 10/21/2005 and was last updated on 5/19/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist007574NEW YORKNo
2103G00000XClinical Neuropsychologist7574NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101698773MEDICAIDNEW YORK

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: 11/21/2025

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