Angelique Gillis, PH.D.
NPI 1912316779ActiveIndividual· Psychologist· Cloquet, MN
Psychologist (PH.D.) in Cloquet, Minnesota, with an NPI issued in August 2014.
Overview
| NPI | 1912316779 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Aug 6, 2014 |
| Last updated in NPPES | Nov 9, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 071817 | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Psychologist providers in Cloquet
- 1356373328
- 1073542981
- 1639108574
- 1427135342
- 1821333170
- 1518067784
- 1962431205