Active NPI
Rafael Gallegos, PSYD
- Forensic Psychologist
- West Hartford, CT
National Provider Identifier
1205991957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 002394
- Practice address
- 846 Farmington Ave Ste 11
West Hartford, CT 06119-1554 - Phone
- (860) 236-7333
- NPI assigned
- Dec 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 002394 | CT | |
| Clinical Psychologist | 103TC0700X | 002394 | CT | |
| Forensic Psychologist | 103TF0200X | 002394 | CT | Primary |
Addresses
Primary practice location
846 Farmington Ave Ste 11
West Hartford, CT 06119-1554
Mailing address
846 Farmington Ave Ste 11
West Hartford, CT 06119-1554
Phone (860) 236-7333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002394 | CT | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medoptions Behavioral Health Assoc, LLC | Clinical | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1205991957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "846 FARMINGTON AVE STE 11",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061191554",
"telephone_number": "860-236-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "846 FARMINGTON AVE STE 11",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061191554",
"telephone_number": "860-236-7333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGOS",
"first_name": "RAFAEL",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CT",
"license": "002394",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "002394",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CT",
"license": "002394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.