Individual provider Active NPI

Fred Philip Gallo, PHD

  • Psychologist
  • Hermitage, PA
National Provider Identifier
1629132279
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS002468L Issued in PA
Practice address
60 Snyder Road
Hermitage, PA 16148-3432
Phone
(724) 346-3838
Fax
(724) 346-4339
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS002468L PA Primary

Addresses

Primary practice location

60 Snyder Road
Hermitage, PA 16148-3432

Mailing address

60 Snyder Road
Hermitage, PA 16148-3432
Phone (724) 346-3838

Other identifiers 1

IdentifierTypeStateIssuer
0014881690003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060421000150 PA Practitioner - Clinical Psychologist 3779593678 Practice locations: Hermitage, PA
I20180110001431 PA Practitioner - Clinical Psychologist 3779593678 Receives reassigned benefits from 2 practitioners
Practice locations: Hermitage, PA; Meadville, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

60 Snyder Rd
Hermitage, PA 16148-3432
Phone (724) 346-3838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS002468LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gallo & Associates Psychological Services Psychologist PastSince Oct 9, 2017 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1629132279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SNYDER ROAD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483432",
            "telephone_number": "724-346-3838",
            "fax_number": "724-346-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SNYDER ROAD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483432",
            "telephone_number": "724-346-3838",
            "fax_number": "724-346-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "FRED",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS002468L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014881690003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.