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

Mr. Michael Joseph Gillen, PHD

Individual provider Clinical Psychologist · NPI 1477925121

Mr. Michael Joseph Gillen, PHD is a Clinical Psychologist in Union Grove, Wisconsin. Qualified in 2014, 12 years ago. Practices with Davken Associates, PC, an 8-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2015
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

21425 Spring Street Union Grove VA Clinic
Union Grove, WI 53182
Phone: (262) 878-7020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3313-57 (WI)

Record details

NPI number1477925121
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 21, 2015
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Davken Associates, P.C. — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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