Dr. Jacks X Gilles is a Louisville, Kentucky based psychologist with 13 years of experience in Clinical Psychology. completed graduation in 2011. accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jacks X Gilles is 129842 for Clinical Psychology in Kentucky. current practice location is 633 Baxter Ave, Louisville. Patients can reach at 502-309-2408. Dr. Jacks X Gilles is PSY.D., LP in Clinical Psychology and NPI number (Unique professional ID assigned by NPPES) is 1124212972. Dr. Jacks X Gilles is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Dr. Jacks X Gilles speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Jacks X Gilles
Specialization:
Clinical Psychology
Gender:
X
Credentials:
PSY.D., LP
Experience:
13+ years
Medical School Attended:
Other
Graduation Year:
2011
Accepts Medicare Assignment:
Yes
Practice Address:
633 Baxter Ave, Louisville, Kentucky, 40204-1157
Phone:
502-309-2408
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9133492580
Enrollment ID:
I20170913002014
NPI Number:
1124212972
NPI Enumeration Date:
04 Sep, 2007
NPI Last Update On:
19 Nov, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jacks X Gilles are as mentioned below.
License Number
Specialization
State
Status
129842
Clinical Psychology
Kentucky
Primary
1745
Clinical Psychology
Kentucky
Secondary
2012-12
Clinical Psychology
Kentucky
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Jacks X Gilles is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Mandala House, Llc (4789957135)
8
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jacks X Gilles such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7100481420
Medicaid
Kentucky
129842
Other
Kentucky
LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Jacks X Gilles 633 Baxter Ave, Louisville, Kentucky
Zip:
40204-1157
Phone Number:
502-309-2403
Patients can reach Dr. Jacks X Gilles at 633 Baxter Ave, Louisville, Kentucky or can call to book an appointment on 502-309-2408.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.