Karin Galliano, P.H.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY6197 Issued in FL

Practice address

425 Cross St
111
Punta Gorda, FL 33950-4877

Phone

(941) 505-6162

Fax

(941) 505-8604

NPI assigned

Aug 28, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2022 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Peace River Psychology Center PA

  • Psychologist
  • Punta Gorda, FL
  • NPI 1003049172
  Authorized official Same address or phone

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

{
    "created_epoch": "1125187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1063405785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CROSS ST",
            "address_2": "111",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504877",
            "telephone_number": "941-505-6162",
            "fax_number": "941-505-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CROSS ST",
            "address_2": "111",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504877",
            "telephone_number": "941-505-6162",
            "fax_number": "941-505-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIANO",
        "first_name": "KARIN",
        "name_prefix": "Dr.",
        "credential": "P.H.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-28",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "54712",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fresenius Medical Care Punta Gorda, LLC (Fresenius Kidney Care Punta Gorda)
• James L Fry, LMHC
• Juanita Fry, PTA
• Katherine Gaitan, PA-C
• Karen Ann Gallagher, MS, PMCN, CBT
• Gwendolyn Gannon, RN-BC, CRRN, CCM
• Illenid Garcia Cabrera
• Zady Garcia-Luis, LCSW
• Tania Milagro Garcia, MSW, LCSW
• Deborah Garciga Linares

• Psychologist in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.