Individual provider Active NPI

Pamela Lee Gallant, PSY.D.

  • Clinical Psychologist
  • Concord, NH
National Provider Identifier
1356489793
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1149 Issued in NH
Practice address
187 N State St
Concord, NH 03301-5020
Phone
(603) 856-8163
Fax
(603) 856-8164
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 41714 NH
Clinical Psychologist 103TC0700X 1149 NH Primary

Addresses

Primary practice location

187 N State St
Concord, NH 03301-5020

Mailing address

514 South St
Bow, NH 03304-3419
Phone (603) 856-8163

Other identifiers 2

IdentifierTypeStateIssuer
889986AOtherNHMVP HEALTHCARE
7706646Y0NH01OtherNHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20090128000047 NH Practitioner - Clinical Psychologist 6901960475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Counseling Connections, PLLCGroup PAC ID 8820268154, 6 clinicians

Practice addresses (Care Compare)

187 N State St
Concord, NH 03301-5020
Phone (603) 856-8163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1149NHMDClinical Psychologist
41714NHMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Counseling Connections PLLC Clinical CurrentSince Sep 1, 2010 Accepting new patients
Lrghealthcare PastSince May 1, 2015 Accepting new patients
Central New Hampshire Oral Surgery, PA PastSince Nov 7, 2015 Accepting new patients
Concord Hospital-Franklin Past Accepting new patients

Locations

514 South St
Bow, NH 03304
Phone (603) 856-8163

187 N State St
Concord, NH 03301
Phone (603) 228-9050

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1356489793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 SOUTH ST",
            "city": "BOW",
            "state": "NH",
            "postal_code": "033043419",
            "telephone_number": "603-856-8163",
            "fax_number": "603-856-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 N STATE ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015020",
            "telephone_number": "603-856-8163",
            "fax_number": "603-856-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLANT",
        "first_name": "PAMELA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NH",
            "license": "41714",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHCARE",
            "identifier": "889986A",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "7706646Y0NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.