Tracy M Gale, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20042484A Issued in IN

Practice address

4740 Kingsway Dr
Indianapolis, IN 46205-1521

Phone

(317) 466-1000

Fax

(317) 466-2000

NPI assigned

Aug 20, 2010

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Gale Psychological Services, LLC

  • Clinical Psychologist
  • Indianapolis, IN
  • NPI 1831930304
  NPD Authorized official

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1205142866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 KINGSWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051521",
            "telephone_number": "317-466-1000",
            "fax_number": "317-466-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 KINGSWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051521",
            "telephone_number": "317-466-1000",
            "fax_number": "317-466-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALE",
        "first_name": "TRACY",
        "middle_name": "M",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042484A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201009820",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Elliot Galdun, MD
• Gale Psychological Services, LLC
• Alyssa Gale
• Kristine Gale
• Richard J Gale, PSYD, HSPP
• Diosdelyn Galero
• Susan Lin Galford, PH.D.
• David William Galginaitis
• Raymond Galinsky, PHARM.D.
• Bryanna Gall

• Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.