Individual provider Active NPI

Roberta Eileen Gallagher, PH.D.

  • Clinical Neuropsychologist
  • Nashville, TN
National Provider Identifier
1649462433
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
2675 Issued in TN
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00453594OtherTNRAILROAD MEDICARE
4177555OtherTNBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2675TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mid South Psychiatric Associates PastSince Apr 1, 1995 Accepting new patients
Volunteer Behavioral Health Care System PastSince Jul 1, 2003 Accepting new patients
Lindsay Keith MD PLLC PastSince May 5, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/
  • FHIR API: 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.

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

Verify at the official NPI Registry.