Pamela Anita Gulley, ED.D.
NPI 1215150123ActiveIndividual· Psychologist· Fairfield, OH
Psychologist (ED.D.) with Mindfully LLC, practicing in Fairfield, Ohio. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1215150123 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ED.D. |
| Sole proprietor | Yes |
| NPI issued | Apr 10, 2007 |
| Last updated in NPPES | Dec 3, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 3567 | OH |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 3567 | OH |
| Psychologist, Family | 103TF0000X | 3567 | OH |
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 - Clinical Psychologist (OH) |
|---|
Education and affiliations
| Graduation year | 1980 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Mindfully LLCDenver, CO · 62 clinicians
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