Mitchell Jay Galerkin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

22625 Issued in NV

Practice address

170 S Green Valley Pkwy Ste 300
Henderson, NV 89012-3145

Phone

(702) 832-2001

NPI assigned

Oct 13, 2005

Last updated

Jan 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 4, 2015 through Sep 4, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Resilient Psychiatric Services PLLC

  • Psychiatry Physician
  • Henderson, NV
  • NPI 1003753898
  NPD Authorized official
• Premier Psychiatric Services, Inc

  • Psychiatry Physician
  • Roseville, CA
  • NPI 1932556081
  NPD (past) Authorized official
• Mindful Health Solutions a Professional Medical Corporation

  dba TMS Health Solutions

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1881894483
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1467440339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 REFLECTION BAY DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114290",
            "telephone_number": "916-768-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 S GREEN VALLEY PKWY STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123145",
            "telephone_number": "702-832-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALERKIN",
        "first_name": "MITCHELL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G66328",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "22625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Allyn Gahr, MD
• Carol Kay Gaidis
• Stanley Gaines
• Wilma Carter Gaines
• Alejandra Galaz, COTA
• Kesha Galiardi
• Yanet Galicia Perez
• Claire Marianna Galin, D.O.
• Kelly Gallagher
• Ronald J Gallagher Jr., P.T.

• Psychiatry Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.