Peter Galiwango

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

RN2378862 Issued in MA

Practice address

55 Station LNDG Apt 431W
Medford, MA 02155-5031

Phone

(978) 489-8380

NPI assigned

Jun 3, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Advocates, Inc.Group PAC ID 9830404045, 111 clinicians

Spectrum Neuro Behavioral Care LLCGroup PAC ID 2860721362, 57 clinicians

Devens Treatment and Recovery Center LLCGroup PAC ID 8123319498, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Advocates, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marlborough, MA
  • NPI 1437451382
  Medicare reassignment Care Compare group NPD
• Devens Treatment & Recovery Center, LLC

  • Psychiatry Physician
  • Devens, MA
  • NPI 1811473267
  Medicare reassignment Care Compare group NPD
• Muk Psychiatry PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Malden, MA
  • NPI 1841166287
  Medicare reassignment NPD Authorized official
• Spectrum Neuro Behavioral Care LLC

  • Community/Behavioral Health Agency
  • North Smithfield, RI
  • NPI 1356906572

  MA

  Medicare reassignment Care Compare group NPD
• Advocates, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Whitinsville, MA
  • NPI 1184478000
  NPD
• Advocates, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lawrence, MA
  • NPI 1417701335
  NPD

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1710728050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 WORCESTER RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025255",
            "telephone_number": "508-661-2020",
            "fax_number": "508-661-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 STATION LNDG APT 431W",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555031",
            "telephone_number": "978-489-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALIWANGO",
        "first_name": "PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MA",
            "license": "RN2378862",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "RN2378862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Ruth Fuller
• Thomas W Furth, M.D.
• Gela Michelle Fuxman, M.S., CCC-SLP
• Kira Gabridge
• Anjali Gaddam
• Alissa Gallaher
• Cynthia Marie Gallant, AC
• Alina Gallupe-Barry, LMHC
• Nancy C Ganley, R.PH.
• Sameer Gaonkar, MD

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Medford, MA
• Providers in Medford, MA by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.