Organization Active NPI

Gallus Medical Services Arizona

  • Group Psychotherapy Psychologist
  • Scottsdale, AZ
National Provider Identifier
1508442799
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
GALLUS MEDICAL SERVICES ARIZONA
Practice address
4326 N 75TH St
Scottsdale, AZ 85251-3505
Phone
(480) 425-5540
Fax
(480) 361-9023
NPI assigned
Mar 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Authorized official

Name
Annette Edgar
Title
Medical Reimbursement Manager
Phone
(720) 501-2227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

4326 N 75TH St
Scottsdale, AZ 85251-3505

Mailing address

300 S Jackson St Ste 220
Denver, CO 80209-3134
Phone (720) 501-2227

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1508442799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST STE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093134",
            "telephone_number": "720-501-2227",
            "fax_number": "720-501-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 N 75TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513505",
            "telephone_number": "480-425-5540",
            "fax_number": "480-361-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLUS MEDICAL SERVICES ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "EDGAR",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "MEDICAL REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "720-501-2227"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.