Jacks Gilles, PSY.D., LP
NPI 1124212972 · Clinical Psychologist · Louisville, KY
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacks Gilles, PSY.D., LP is a Clinical Psychologist provider in Louisville, KY (NPI 1124212972).
Provider details
- NPI number
- 1124212972
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D., LP
- Sole proprietor
- No
- License
- 1745 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1190 E BroadwayLouisville, KY 40204-1712Phone: (502) 627-0905
Registry dates
- Enumerated
- 2007-09-04
- Last updated
- 2024-11-19
- Certified
- 2024-11-19
Frequently asked questions
- What is Jacks Gilles's NPI number?
- Jacks Gilles's National Provider Identifier (NPI) is 1124212972, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacks Gilles's specialty?
- Jacks Gilles is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jacks Gilles located?
- Jacks Gilles's practice location on file with NPPES is 633 Baxter Ave, Louisville, KY 40204-1157.
- What is Jacks Gilles's phone number?
- The practice phone number listed in the NPPES registry for Jacks Gilles is (502) 309-2408.
- Does Jacks Gilles accept Medicare?
- Jacks Gilles is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacks Gilles's NPI active?
- Yes — Jacks Gilles's NPI (1124212972) is active in the NPPES registry as of the last update on 2024-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.