Active NPIIndividual provider

Steffen G Gillom, PHD, LMFT

Marriage & Family Therapist in Pawtucket, Rhode Island

NPI Number1992670913
Practice location
750 East Ave Unit 27, Pawtucket, RI 02860-6245
Fax
—
Last updated
August 31, 2026

Steffen Glenn Gillom is a Marriage & Family Therapist based in Pawtucket, RI. Steffen Glenn Gillom practices in Pawtucket, RI and has the professional credentials of PHD, LMFT. The NPI Number for Steffen Glenn Gillom is 1992670913 and holds a License No. MFT00316 (RI). The current practice location address for Steffen Glenn Gillom is 750 East Ave Unit 27, Pawtucket, RI 02860-6245 and can be reached out via phone at 401-310-3856.

Provider Profile Details

NPI Number
1992670913
Provider Name
Steffen Glenn Gillom
Credential
PHD, LMFT
Provider Entity Type
Individual
Gender
Male
Address
750 East Ave Unit 27, Pawtucket, RI 02860-6245
Phone Number
401-310-3856
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
No
Provider Enumeration Date
October 8, 2025
Last Update Date
August 31, 2026
Certification Date
August 31, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
750 East Ave Unit 27
Pawtucket, RI 02860-6245
Zip
02860-6245
Phone Number
401-310-3856
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
750 East Ave Unit 27
Pawtucket, RI 02860-6245
City
Pawtucket
State
RI
Zip
02860-6245
Phone Number
401-310-3856

License Information

License Number
MFT00316
License State
RI
Taxonomy
Marriage & Family Therapist · 106H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Steffen G Gillom, PHD, LMFT?

The NPI number of Steffen G Gillom, PHD, LMFT is 1992670913. It was assigned on October 8, 2025 and is currently active in the NPPES registry.

What is the specialty of Steffen G Gillom, PHD, LMFT?

Steffen G Gillom, PHD, LMFT is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in RI under license number MFT00316.

Where does Steffen G Gillom, PHD, LMFT practice?

The practice location is 750 East Ave Unit 27, Pawtucket, RI 02860-6245. The office can be reached at 401-310-3856 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992670913 directly on the NPPES registry website.

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