Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kristin Rae Gillen, PHD

Individual provider Counseling Psychologist · NPI 1124302393

Dr. Kristin Rae Gillen, PHD is a Clinical Psychologist in Portage, Michigan. Qualified in 2011, 15 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2011
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1514 W Milham Ave
Portage, MI 49024-1296
Phone: (269) 342-0606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 6301014977 (MI)

Record details

NPI number1124302393
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 5, 2011
Last updated in NPPESJanuary 3, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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