Individual provider Active NPI

Fiona P Gallacher, PHD

  • Clinical Psychologist
  • Williamsville, NY
National Provider Identifier
1053422212
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
016945 Issued in NY
Practice address
21 Linwood Ave
Williamsville, NY 14221-6501
Phone
(716) 626-9016
Fax
(716) 626-4271
NPI assigned
Aug 31, 2006
Last updated
Aug 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 016945 NY Primary

Addresses

Primary practice location

21 Linwood Ave
Williamsville, NY 14221-6501

Mailing address

21 Linwood Ave
Williamsville, NY 14221-6501
Phone (716) 626-9016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070502000488 NY Practitioner - Clinical Psychologist 0345346615 Practice locations: Getzville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2350 N Forest Rd
Suite 35B
Getzville, NY 14068-1296
Phone 7166269016110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
016945NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Nurse Practitioner Practice, PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1053422212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LINWOOD AVE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216501",
            "telephone_number": "716-626-9016",
            "fax_number": "716-626-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LINWOOD AVE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216501",
            "telephone_number": "716-626-9016",
            "fax_number": "716-626-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLACHER",
        "first_name": "FIONA",
        "middle_name": "P",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.