Individual provider Active NPI

Stevie Gallo

  • School Psychologist
  • Millville, CA
National Provider Identifier
1508503392
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
24510 State Highway 44
Millville, CA 96062-9705
Phone
(562) 274-1585
NPI assigned
May 13, 2022
Last updated
May 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X NU Primary

Addresses

Primary practice location

24510 State Highway 44
Millville, CA 96062-9705

Mailing address

24510 State Highway 44
Millville, CA 96062-9705
Phone (562) 274-1585

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stevie.gallo@presencelearning.com

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

NPI Registry JSON

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1508503392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24510 STATE HIGHWAY 44",
            "city": "MILLVILLE",
            "state": "CA",
            "postal_code": "960629705",
            "telephone_number": "562-274-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24510 STATE HIGHWAY 44",
            "city": "MILLVILLE",
            "state": "CA",
            "postal_code": "960629705",
            "telephone_number": "562-274-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "STEVIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stevie.gallo@presencelearning.com",
            "affiliation": "N",
            "address_1": "24510 State Highway 44",
            "city": "Millville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "960629705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Millville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.