Active NPI
Roberta Eileen Gallagher, PH.D.
- Clinical Neuropsychologist
- Nashville, TN
National Provider Identifier
1649462433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 2675
- Practice address
- 1916 Patterson St
Suite 606
Nashville, TN 37203-2120 - Phone
- (615) 322-9227
- Fax
- (615) 322-9247
- NPI assigned
- Aug 15, 2007
- Last updated
- May 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 2675 | TN | Primary |
| Psychologist | 103T00000X | 2675 | TN | |
| Adult Development & Aging Psychologist | 103TA0700X | 2675 | TN | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 2675 | TN | |
| Clinical Psychologist | 103TC0700X | 2675 | TN |
Addresses
Primary practice location
1916 Patterson St
Suite 606
Nashville, TN 37203-2120
Mailing address
1916 Patterson Street
Suite 606
Nashville, TN 37203-2120
Phone (615) 322-9227
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00453594 | Other | TN | RAILROAD MEDICARE |
| 4177555 | Other | TN | BLUE CROSS PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080211000649 | TN | Practitioner - Clinical Psychologist | 6709782642 | Practice locations: Murfreesboro, TN; Nashville, TN; Woodbury, TN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2675 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid South Psychiatric Associates | Past | Accepting new patients | |
| Volunteer Behavioral Health Care System | Past | Accepting new patients | |
| Lindsay Keith MD PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/vbhcs/r4/
- https://fhir4.healow.com/fhir/r4/BHIBDD
Organizations & group practices 3
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.
-
- Surgery Physician
- Murfreesboro, TN
- NPI 1871282418
-
- Prescribing (Medical) Psychologist
- Murfreesboro, TN
- NPI 1013109511
-
- Counselor
- Murfreesboro, TN
- NPI 1043267107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1649462433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1916 PATTERSON STREET",
"address_2": "SUITE 606",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032120",
"telephone_number": "615-322-9227",
"fax_number": "615-322-9247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1916 PATTERSON ST",
"address_2": "SUITE 606",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032120",
"telephone_number": "615-322-9227",
"fax_number": "615-322-9247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "ROBERTA",
"middle_name": "EILEEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "TN",
"license": "2675",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "2675",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "TN",
"license": "2675",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "TN",
"license": "2675",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "2675",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00453594",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PIN",
"identifier": "4177555",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.