Michael William Gillum, MA
NPI 1194789180ActiveIndividual· Psychologist· Williamsport, PA
Psychologist (MA) in Williamsport, Pennsylvania, licensed in PA, with an NPI issued in April 2006. Enrolled in Medicare as practitioner - psychologist billing independently.
Overview
| NPI | 1194789180 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA |
| Sole proprietor | No |
| NPI issued | Apr 14, 2006 |
| Last updated in NPPES | Jan 28, 2025 |
| Certified by provider | Jan 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PS007825L | PA |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | PS007825L | PA |
| Psychologist, Cognitive & Behavioral | 103TB0200X | PS007825L | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychologist Billing Independently (PA) |
|---|
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