Richard Sebastian Gallagher, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001017 Issued in NY

Practice address

744 S Meadow St
Suite 450 #1096
Ithaca, NY 14850-5398

Phone

(607) 227-2252

Fax

(607) 235-5003

NPI assigned

Apr 4, 2012

Last updated

Oct 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Marriage and Family Therapist

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1750647723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4023",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148524023",
            "telephone_number": "607-227-2252",
            "fax_number": "607-235-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 S MEADOW ST",
            "address_2": "SUITE 450 #1096",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505398",
            "telephone_number": "607-227-2252",
            "fax_number": "607-235-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "RICHARD",
        "middle_name": "SEBASTIAN",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-04",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilene Gaffin, LCSW
• James S Gaffney, M.D.
• Suzanne Marie Gaglie
• David W Galezo, LCSW
• Casey M Gallagher-Licitra, RN, PMHNP
• Carly Jane Gallow
• Valentina V. Galyanova, MD
• Barbara Lynn Ganzel
• Nelima W Gaonkar, LCSW-R
• Amy Garbincus, RN

• Marriage & Family Therapist in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.