Active NPI
Dennis P. Gallo, PHD, CLINICAL PSYCHO
- Clinical Psychologist
- North Babylon, NY
National Provider Identifier
1235250838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 004691
- Practice address
- 104 Harriet Road
North Babylon, NY 11703-4705 - Phone
- (631) 422-2962
- Fax
- (631) 422-2962
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 004691 | NY | Primary |
Addresses
Primary practice location
104 Harriet Road
North Babylon, NY 11703-4705
Mailing address
104 Harriet Road
North Babylon, NY 11703-4705
Phone (631) 422-2962
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008966399 | Other | GHI | |
| DR7076 | Other | OXFORD HEALTH PLANS | |
| V5529 | Other | BLUE CROSS BLUE SHIELD | |
| 0004389686 | Other | AETNA | |
| A058227 | Other | VALUE OPTIONS |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1235250838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 HARRIET ROAD",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117034705",
"telephone_number": "631-422-2962",
"fax_number": "631-422-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 HARRIET ROAD",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117034705",
"telephone_number": "631-422-2962",
"fax_number": "631-422-2962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLO",
"first_name": "DENNIS",
"middle_name": "P.",
"name_prefix": "Mr.",
"credential": "PHD, CLINICAL PSYCHO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "004691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "008966399",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "DR7076",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "V5529",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004389686",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "A058227",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in North Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.