Individual provider Active NPI

Carla Swick Galusha, PH.D.

  • Clinical Psychologist
  • League City, TX
National Provider Identifier
1740582881
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1641 Issued in AL
Practice address
2210 Lilyglen CT
League City, TX 77573-3973
Phone
(804) 894-2371
Fax
(804) 299-5176
NPI assigned
Nov 22, 2010
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 9501 NU
Clinical Psychologist 103TC0700X 0810004709 VA
Clinical Psychologist 103TC0700X 39174 TX
Clinical Psychologist 103TC0700X 1641 AL Primary
Forensic Psychologist 103TF0200X 1641 AL

Addresses

Primary practice location

2210 Lilyglen CT
League City, TX 77573-3973

Mailing address

2925 Gulf Fwy S Ste B
League City, TX 77573-6769
Phone (804) 894-2371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20221116002250 TX Practitioner - Clinical Psychologist 6406034529 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0810004709VAMDClinical Psychologist
39174TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Clinical Current Accepting new patients
Health and Human Services Commission Psychologist CurrentSince Jan 19, 2025 Accepting new patients
Health and Human Services Commission CurrentSince Jan 19, 2025 Accepting new patients
Galusha Psychological Services LLC Psychologist PastSince May 3, 2011 Accepting new patients

Locations

805 N Dickinson Dr
Rusk, TX 75785
Phone (903) 683-7201

Organizations & group practices 4

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": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1740582881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 GULF FWY S STE B",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736769",
            "telephone_number": "804-894-2371",
            "fax_number": "804-299-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 LILYGLEN CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733973",
            "telephone_number": "804-894-2371",
            "fax_number": "804-299-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALUSHA",
        "first_name": "CARLA",
        "middle_name": "SWICK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": "9501",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004709",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39174",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1641",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "AL",
            "license": "1641",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.