Organization Active NPI

Mario M. Gallo & Linda R. Harper PTR

  • Clinical Psychologist
  • Evergreen Park, IL
National Provider Identifier
1770601064
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MARIO M. GALLO & LINDA R. HARPER PTR
Practice address
3830 W 95TH St
Suite 110
Evergreen Park, IL 60805-2004
Phone
(708) 423-5330
Fax
(708) 423-5379
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
Dr. Linda Ruth Harper, PH.D.
Title
Clinical Psychologist
Phone
(708) 423-5330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

3830 W 95TH St
Suite 110
Evergreen Park, IL 60805-2004

Mailing address

3830 W 95TH St
Suite 110
Evergreen Park, IL 60805-2004
Phone (708) 423-5330

National Provider Directory

National Provider Directory

Locations

3830 W 95th St
Ste 110
Evergreen Pk, IL 60805
Phone (708) 423-5330

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1770601064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 W 95TH ST",
            "address_2": "SUITE 110",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052004",
            "telephone_number": "708-423-5330",
            "fax_number": "708-423-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 W 95TH ST",
            "address_2": "SUITE 110",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052004",
            "telephone_number": "708-423-5330",
            "fax_number": "708-423-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO M. GALLO & LINDA R. HARPER PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "708-423-5330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.