Individual provider Active NPI

Christopher R. Galbreath, DO

  • Psychiatry Physician
  • Fairport, NY
National Provider Identifier
1235190521
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
172390 Issued in NY
Practice address
1387 Fairport Rd
Suite 580
Fairport, NY 14450-2003
Phone
(585) 377-0560
Fax
(585) 377-0577
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 172390 NY Primary

Addresses

Primary practice location

1387 Fairport Rd
Suite 580
Fairport, NY 14450-2003

Mailing address

1387 Fairport Rd
Suite 580
Fairport, NY 14450-2003
Phone (585) 377-0560

Other identifiers 3

IdentifierTypeStateIssuer
P010172390OtherNYEXCELLUS BLUE CHOICE
101214EUOtherNYPREFERRED CARE PROVIDER #
1777OtherNYEXCELLUS BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070629000124 NY Practitioner - Psychiatry 2466551650 Practice locations: Fairport, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York College of Osteo Medicine of New York Institute of Technology, 1985
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1387 Fairport Rd
Fairport, NY 14450-2002
Phone (585) 377-0560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1235190521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 FAIRPORT RD",
            "address_2": "SUITE 580",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502003",
            "telephone_number": "585-377-0560",
            "fax_number": "585-377-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 FAIRPORT RD",
            "address_2": "SUITE 580",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502003",
            "telephone_number": "585-377-0560",
            "fax_number": "585-377-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALBREATH",
        "first_name": "CHRISTOPHER",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "172390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BLUE CHOICE",
            "identifier": "P010172390",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE PROVIDER #",
            "identifier": "101214EU",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BLUE CROSS",
            "identifier": "1777",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

Verify at the official NPI Registry.