Samuel Galligan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP101768 Issued in MA

Practice address

1000 North St
Pittsfield, MA 01201-1585

Phone

(413) 499-7186

NPI assigned

Mar 5, 2025

Last updated

Jul 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mt Greylock Nursing LLC

  dba Mount Greylock Extended Care Facility

  • Skilled Nursing Facility
  • Pittsfield, MA
  • NPI 1417170408
  NPD (past)
• Pittsfield Management Systems Inc.

  dba Mount Greylock Extended Care Facility

  • Skilled Nursing Facility
  • Pittsfield, MA
  • NPI 1295064947
  NPD (past)

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1063210979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 OLYMPUS BLVD STE 500",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750191205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012011585",
            "telephone_number": "413-499-7186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 Lagrima De Oro Rd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871116022",
            "country_code": "US",
            "telephone_number": "505-298-1231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLIGAN",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SAH-2025-0027",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SLP101768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gahcr II Pittsfield Ma SNF TRS Sub, LLC (Springside Rehabilitation and Skilled Care Center)
• Crista Gajda-Wood
• Orli Gal, CRNP, FNP-C
• Nicholas Gale
• Colleen Marie Gallagher Harmon
• Lanie Galman, MD
• Stephanie Galt
• Christian R Galvez-Padilla, M.D.
• Lisa Campagna Gamache, D.M.D.
• Paul J . R. Gamache, DMD

• Speech-Language Pathologist in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.