Organization Active NPI

Gallimore Psychiatric Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Centerville, OH
National Provider Identifier
1295495992
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GALLIMORE PSYCHIATRIC SERVICES, LLC
Practice address
7901 Schatz Pointe Dr
Centerville, OH 45459-3824
Phone
(937) 438-9841
Fax
(937) 438-9851
NPI assigned
Dec 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Tiffani Michelle Gallimore, MSN, APRN, PMHNP-BC
Title
Certified Nurse Practitioner
Phone
(937) 369-3234

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

7901 Schatz Pointe Dr
Centerville, OH 45459-3824

Mailing address

1256 Ashland Ave
Dayton, OH 45420-1504
Phone (937) 369-3234

Other practice location 1

1256 Ashland Ave
Dayton, OH 45420-1504
Phone (937) 369-3234

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1295495992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 ASHLAND AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201504",
            "telephone_number": "937-369-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 SCHATZ POINTE DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593824",
            "telephone_number": "937-438-9841",
            "fax_number": "937-438-9851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1256 Ashland Ave",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454201504",
            "country_code": "US",
            "telephone_number": "937-369-3234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GALLIMORE PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "GALLIMORE",
        "authorized_official_first_name": "TIFFANI",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CERTIFIED NURSE PRACTITIONER",
        "authorized_official_telephone_number": "937-369-3234",
        "authorized_official_credential": "MSN, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.