Active NPI
Robert Wallace Garlan, PHD
- Psychologist
- Buffalo, NY
National Provider Identifier
1306982145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 018277
- Practice address
- 142 Bidwell Pkwy
Buffalo, NY 14222-1164 - Phone
- (716) 254-4554
- NPI assigned
- Jan 29, 2007
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Psychologist | 103TC0700X | PSY 21685 | CA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY 21685 | CA | |
| Group Psychotherapy Psychologist | 103TP2701X | PSY 21685 | CA | |
| Psychologist | 103T00000X | PSY 21685 | CA | |
| Psychologist | 103T00000X | 018277 | NY | Primary |
Addresses
Primary practice location
142 Bidwell Pkwy
Buffalo, NY 14222-1164
Mailing address
142 Bidwell Pkwy
Buffalo, NY 14222-1164
Phone (716) 254-4554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 2, 2022 through Oct 2, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 21685 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283472000000",
"number": "1306982145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 BIDWELL PKWY",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142221164",
"telephone_number": "716-254-4554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 BIDWELL PKWY",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142221164",
"telephone_number": "716-254-4554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARLAN",
"first_name": "ROBERT",
"middle_name": "WALLACE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2010-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 21685",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "PSY 21685",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "PSY 21685",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 21685",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "018277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.