NPIMap

Individual provider Active NPI

Kaitlin Gallagher

  • Behavior Analyst
  • Dingmans Ferry, PA
National Provider Identifier
1376155002
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
107 Chestnut Ridge Rd
Dingmans Ferry, PA 18328-9145
Phone
(845) 781-0455
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Damon Physical Therapy PastSince Feb 1, 2024 Accepting new patients
Team Behavioral Consultants Behavior Analyst Past Accepting new patients
Performance Pediatrics Behavior Analyst PastSince Feb 1, 2024 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

107 Chestnut Ridge Rd
Dingmans Ferry, PA 18328-9145

Mailing address

107 Chestnut Ridge Rd
Dingmans Ferry, PA 18328-9145
Phone (845) 781-0455

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 7, 2024.

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1376155002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CHESTNUT RIDGE RD",
            "city": "DINGMANS FERRY",
            "state": "PA",
            "postal_code": "183289145",
            "telephone_number": "845-781-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHESTNUT RIDGE RD",
            "city": "DINGMANS FERRY",
            "state": "PA",
            "postal_code": "183289145",
            "telephone_number": "845-781-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "KAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dingmans Ferry, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.

Verify at the official NPI Registry.