Organization Active NPI

Gallant Psychological and Forensic Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Camp Hill, PA
National Provider Identifier
1801325097
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GALLANT PSYCHOLOGICAL AND FORENSIC SERVICES, LLC
Practice address
PO Box 3303
Camp Hill, PA 17011-3303
Phone
(717) 763-4684
Fax
(717) 737-7691
NPI assigned
Jun 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Ashley Milspaw, PSYDNPI 1730431511
Title
Owner, Clinical Director
Phone
(717) 763-4684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

PO Box 3303
Camp Hill, PA 17011-3303

Mailing address

3803 Cedar Avenue
PO Box 3303
Camp Hill, PA 17011
Phone (717) 763-4684

National Provider Directory

National Provider Directory

Locations

3803 Cedar Ave
Camp Hill, PA 17011
Phone (717) 307-8441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801325097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 CEDAR AVENUE",
            "address_2": "PO BOX 3303",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "17011",
            "telephone_number": "717-763-4684",
            "fax_number": "717-737-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 3303",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170113303",
            "telephone_number": "717-763-4684",
            "fax_number": "717-737-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLANT PSYCHOLOGICAL AND FORENSIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MILSPAW",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "717-763-4684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.