James Bragonier Gillock, ED.D.
NPI 1992913198ActiveIndividual· Psychologist· Newtown, PA
Psychologist (ED.D.) in Newtown, Pennsylvania, licensed in PA, NJ and NY, with an NPI issued in May 2007.
Overview
| NPI | 1992913198 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ED.D. |
| Sole proprietor | Yes |
| NPI issued | May 19, 2007 |
| Last updated in NPPES | Nov 29, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PS-004175-L | PA |
| Clinical Neuropsychologist | 103G00000X | PS004175-L | PA |
| Psychologist | 103T00000X | 1838 | NJ |
| Psychologist | 103T00000X | 010299 | NY |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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