Individual provider Active NPI

Jacob Galles

  • Psychologist
  • San Francisco, CA
National Provider Identifier
1194385369
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY36493 Issued in CA
Practice address
1694 Haight St
San Francisco, CA 94117-2816
Phone
(828) 606-3809
NPI assigned
Jun 19, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY36493 CA Primary
Clinical Psychologist 103TC0700X PY10029 FL
Psychologist 103T00000X 5960 NC

Addresses

Primary practice location

1694 Haight St
San Francisco, CA 94117-2816

Mailing address

1694 Haight St
San Francisco, CA 94117-2816
Phone (828) 606-3809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190719001120 FL Practitioner - Clinical Psychologist 2769718386 Reassigns benefits to 2 organizations
I20231228003124 NC Practitioner - Clinical Psychologist 2769718386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctor on Demand Professionals P CGroup PAC ID 9436464567, 113 clinicians

Practice addresses (Care Compare)

1201 Hays St
Tallahassee, FL 32301-2699
Phone (800) 997-6196

2626 Glenwood Ave
Suite 550
Raleigh, NC 27608-1370
Phone (800) 997-6196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY10029FLMDClinical Psychologist
5960NCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cotler Healthcare & Development Inc. Clinical CurrentSince Jun 20, 2019 Accepting new patients
Doctor on Demand Professionals P C Psychologist CurrentSince Dec 26, 2020 Accepting new patients
Cotler Children and Family Services, LLC Clinical Past Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

1351 San Christopher Dr
Dunedin, FL 34698
Phone (727) 736-1421

901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109

9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467

1201 Hays St
Tallahassee, FL 32301
Phone (855) 522-7233

11120 S Crown Way
Ste 1
Wellington, FL 33414
Phone (561) 419-6779

2626 Glenwood Ave
Ste 550
Raleigh, NC 27608
Phone (203) 518-2124

Interoperability endpoints

  • Direct secure messaging: jake.galles.1@30520.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1194385369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1694 HAIGHT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172816",
            "telephone_number": "828-606-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1694 HAIGHT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172816",
            "telephone_number": "828-606-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLES",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY36493",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10029",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.