Dr. Jacks X Gilles, Psy.D., LP
Psychologist, Clinical in Louisville, KY. Individual provider (NPI-1).
NPI number1124212972
StatusActive
Last updated in NPPESNov 19, 2024
Details
- NPI
- 1124212972
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacks X Gilles
- Credential
- Psy.D., LP
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2007
- Certification date
- Nov 19, 2024
- Last updated
- Nov 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 129842 | KY | Yes |
| 103TC0700X | Psychologist, Clinical | 1745 | KY | |
| 103TC0700X | Psychologist, Clinical | 2012-12 | KY |
Practice location
633 Baxter AveLouisville, KY 40204-1157
Phone 502-309-2408
Mailing address
633 Baxter AveLouisville, KY 40204-1157
Phone 502-309-2403
Other practice locations
1190 E Broadway
Louisville, KY 40204-1712
Louisville, KY 40204-1712
Phone 502-627-0905
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Psychologist providers in Louisville, KY
- 12 Sherpas, PLLCNPI 1356713184
- Sarah Meyer Abbott, PSYDNPI 1689284143
- Amanda Ables, PH.D.NPI 1356708838
- Amanda M Amsden, PSYDNPI 1275298689
- Justin O'Neal Anderson, PSY.D.NPI 1780834390
- Andrew B Jones Phd PscNPI 1851538797
- Heather Auton, PSY.D.NPI 1770520157
- Nicholas Bach, PSY.D.NPI 1003489824
- Julie Renee Barber, PSY. D.NPI 1912867987
- Kay Diane Barnfield, PSY.D.NPI 1285786103
All 293 Clinical Psychologist providers in Louisville · All 27,512 providers in Louisville
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.