Adrianne Gallucci, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3688 Issued in AZ

Practice address

1825 E Northern Ave Ste 161B
Phoenix, AZ 85020-3812

Phone

(480) 865-5514

NPI assigned

Jan 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Adrianne M Gallucci-Breithaupt Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cognitive Assessment & Referral Services PLLC

  • Clinical Psychologist
  • Phoenix, AZ
  • NPI 1902433758
  NPD Authorized official

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1629215181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9502 N 47TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850285219",
            "telephone_number": "602-515-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 E NORTHERN AVE STE 161B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203812",
            "telephone_number": "480-865-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUCCI",
        "first_name": "ADRIANNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIANNE",
            "last_name": "GALLUCCI-BREITHAUPT",
            "middle_name": "M",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Naomi Rochelle Galloway
• Noah Galloway
• Sophia Galloway, PHARM.D.
• Tamara Galloway, PT
• Taryll Galloway, FNP-C
• Katie Ann Gallucci
• Peggy Grandy Gallup, NP
• Gallus Outpatient Services of Arizona LLC
• Shea Nicole Gallus
• Michelle Galster

• Clinical Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.