Active NPI
Harrison Ross Galicki, MD
- Psychiatry Physician
- Salem, VA
National Provider Identifier
1790276483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101270751
- Practice address
- 1970 Roanoke Blvd BLDG 11
Salem, VA 24153-6404 - Phone
- (540) 982-2463
- NPI assigned
- May 29, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116031683 | VA | |
| Psychiatry Physician | 2084P0800X | 0101270751 | VA | Primary |
Addresses
Primary practice location
1970 Roanoke Blvd BLDG 11
Salem, VA 24153-6404
Mailing address
1970 Roanoke Blvd BLDG 11
Salem, VA 24153-6404
Phone (540) 982-2463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180919003150 | VA | Order and Referring Only - Psychiatry | 5991056624 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101270751 | VA | MD | Psychiatry Physician |
Interoperability endpoints
- harrison.galicki@hca6.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1790276483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 ROANOKE BLVD BLDG 11",
"city": "SALEM",
"state": "VA",
"postal_code": "241536404",
"telephone_number": "540-982-2463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 ROANOKE BLVD BLDG 11",
"city": "SALEM",
"state": "VA",
"postal_code": "241536404",
"telephone_number": "540-982-2463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALICKI",
"first_name": "HARRISON",
"middle_name": "ROSS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-29",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116031683",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101270751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
- Friendship Outpatient & Wellness Services, Inc. (Richfield Outpatient)
- Friendship RL LLC (The Joseph C. Thomas Center)
- Friendship RL LLC (The Oaks)
- Friendship RL LLC (Richfield Health Center - Salem)
- Karen Leslie Gaines, M.A., CCC-SLP
- Linda Z Galicki, MD
- Sweta Ganta
- Christopher Garcia, LCSW
- Kathryn Garcia, MD
- Davina D Gardner
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.