Maria Christine Gallina

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

G45054383951 Issued in IL

Practice address

1012 W Fayette Ave Apt 2
Springfield, IL 62704-2491

Phone

(217) 836-7678

NPI assigned

Apr 30, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1588922397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 W FAYETTE AVE APT 2",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627042491",
            "telephone_number": "217-836-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 W FAYETTE AVE APT 2",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627042491",
            "telephone_number": "217-836-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLINA",
        "first_name": "MARIA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "G45054383951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Januka Gaire, MD
• Kelly Galanos, M.D.
• Galaxyklien Medical LLC
• Susan Mary Gallagher, LPC
• Phillip Charles Galle, MD
• Brittney Ellene Gallivan, NP-C
• Delores A Gallo, CRNA
• Katherine L Galloway, MSW, LSW
• Janice R. Gambach, LCSW
• Shyam Kiran Gandam Venkata, MD

• Developmental Therapist in Springfield, IL
• Providers in Springfield, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.