Individual provider · Type 1 NPI

Dakota M. Gillmore, PhD

Clinical Psychologist · Fort Drum, NY

NPI number 1194452896 Active

Practice location

11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	0810008441 (VA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1194452896

Dakota M. Gillmore, PhD's National Provider Identifier is 1194452896, issued on Aug 2, 2022. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fort Drum, NY. The record was last updated on Mar 10, 2026.