Individual provider Active NPI

Jennifer Gallo, PHD

  • Clinical Neuropsychologist
  • Chadds Ford, PA
National Provider Identifier
1316487416
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PS017736 Issued in PA
Practice address
5 Christy Dr Ste 207
Chadds Ford, PA 19317-9667
Phone
(484) 841-6725
Fax
(888) 732-8120
NPI assigned
Mar 8, 2017
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS017736 PA Primary

Addresses

Primary practice location

5 Christy Dr Ste 207
Chadds Ford, PA 19317-9667

Mailing address

5 Christy Dr Ste 207
Chadds Ford, PA 19317-9667
Phone (484) 841-6725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170504000096 PA Practitioner - Clinical Psychologist 2365729159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandywine Neuropsychology Associates IncGroup PAC ID 8325283773, 7 clinicians

Practice addresses (Care Compare)

5 Christy Dr
Suite 207
Chadds Ford, PA 19317-9667
Phone (484) 841-6725

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Drexel University CurrentSince Apr 3, 2017 Accepting new patients
Drexel University CurrentSince Apr 3, 2017 Accepting new patients
Drexel University Current Accepting new patients

Locations

3100 Princeton Pike
Ste 3D
Lawrenceville, NJ 08648
Phone (609) 896-2505

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660

219 N Broad St
Fl 7
Philadelphia, PA 19107
Phone (215) 751-0606

245 N 15th St
Rm 8101
Philadelphia, PA 19102

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1316487416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CHRISTY DR STE 207",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179667",
            "telephone_number": "484-841-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CHRISTY DR STE 207",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179667",
            "telephone_number": "484-841-6725",
            "fax_number": "888-732-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS017736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

Verify at the official NPI Registry.