Michael Joseph Gillen, PH.D.
NPI 1477925121ActiveIndividual· Psychologist, Clinical· Union Grove, WI
Psychologist, Clinical (PH.D.) with Davken Associates, P.C., practicing in Union Grove, Wisconsin. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1477925121 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Oct 21, 2015 |
| Last updated in NPPES | Nov 15, 2023 |
| Certified by provider | Nov 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 3313-57 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IL) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Davken Associates, P.C.Crestwood, IL · 8 clinicians
Other clinical psychologists in Union Grove
- 1578224143