DR. MARJORIE MAY GILLESPIE (PH.D., PMHNP,M-CAP) – Mental Health Counselor, NPI 1396762019

DR. MARJORIE MAY GILLESPIE (PH.D., PMHNP,M-CAP) is a healthcare provider. based in Lauderdale lakes, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials PH.D., PMHNP,M-CAP. They hold a License No. 2809552 (FL). The NPI Number for DR. MARJORIE MAY GILLESPIE (PH.D., PMHNP,M-CAP) is 1396762019

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARJORIE MAY GILLESPIE (PH.D., PMHNP,M-CAP)
NPI
1396762019
Phone
(954) 431-7676
Address
4420 W OAKLAND PARK BLVD
Enumeration Date
17 July 2006
Last Update Date
12 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9544317676
Graduation Year
1996 (30 years ago)
PAC ID
6406854660
Professional Enrollment ID
I20061122000193
Address ID
FL333511126SU7800XBLVD501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for DR. MARJORIE MAY GILLESPIE (PH.D., PMHNP,M-CAP)

  • 4420, West Oakland Park Boulevard, Lauderdale Lakes, Broward County, Florida, 33313, United States

    LAUDERDALE LAKES, FL 333131819

    Phone: (954) 431-7676

    Fax: (888) 536-2226

    Type: Mailing

  • PO BOX 16472

    FT LAUDERDALE, FL 333186472

    Phone: (305) 778-3157

    Fax: (888) 538-2226

    Type: Mailing

  • 7800 W OAKLAND PARK BLVD STE 214

    SUNRISE, FL 333511126

    Phone: (954) 431-7676

    Fax: (888) 538-2226

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $4,032.

Total Amount is formed as General ($4,032) + Research ($0) + Ownership ($0) = $4,032.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($2,080).

Total Amount

$4,032

General + Research + Ownership

Payments

78

Total payment records

General Amount

$4,032

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061122000193INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90853Group psychotherapy34623$0
99213Established patient office or other outpatient visit, 20-29 minutes280104$0
99214Established patient office or other outpatient visit, 30-39 minutes4030$0
90792Psychiatric diagnostic evaluation with medical services2424$0
View full utilization report →

Insurance plans in this area (ZIP 33313)

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Provider's Procedures

DR. MARJORIE MAY GILLESPIE (PH.D., PMHNP,M-CAP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERFL90833Psychotherapy, 30 minutes with patient and/or family member4228

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Frequently asked questions

What unique ID ties claims to DR. MARJORIE MAY GILLESPIE (PH.D., PMHNP,M-CAP)?
NPI 1396762019 is assigned to DR. MARJORIE MAY GILLESPIE (PH.D., PMHNP,M-CAP) under the national enumeration system.
Is DR. MARJORIE MAY GILLESPIE (PH.D., PMHNP,M-CAP) active in the national directory?
DR. MARJORIE MAY GILLESPIE (PH.D., PMHNP,M-CAP)'s public NPI profile is in an active state.
What does DR. MARJORIE MAY GILLESPIE (PH.D., PMHNP,M-CAP) treat or focus on?
Patients typically see DR. MARJORIE MAY GILLESPIE (PH.D., PMHNP,M-CAP) under the specialty Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What location shows for DR. MARJORIE MAY GILLESPIE (PH.D., PMHNP,M-CAP)?
We surface Lauderdale Lakes, Florida for DR. MARJORIE MAY GILLESPIE (PH.D., PMHNP,M-CAP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.