Active NPI
Eric Gallegos
- School Psychologist
- San Antonio, TX
National Provider Identifier
1306668751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 70783
- Practice address
- 10127 Morocco St Ste 202
San Antonio, TX 78216-3938 - Phone
- (210) 838-5351
- NPI assigned
- Oct 28, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 37485 | TX | |
| School Psychologist | 103TS0200X | 70783 | TX | Primary |
Addresses
Primary practice location
10127 Morocco St Ste 202
San Antonio, TX 78216-3938
Mailing address
10127 Morocco St Ste 202
San Antonio, TX 78216-3938
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70783 | TX | MD | School Psychologist |
| 37485 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1306668751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10127 MOROCCO ST STE 202",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782163938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10127 MOROCCO ST STE 202",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782163938",
"telephone_number": "210-838-5351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGOS",
"first_name": "ERIC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "37485",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "70783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.