Active NPI
Joseph Ronald Giallo, ED.D
- Clinical Neuropsychologist
- Capitola, CA
National Provider Identifier
1811902232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY15522
- Practice address
- 820 Bay Ave
208A
Capitola, CA 95010-2140 - Phone
- (831) 475-1323
- Fax
- (831) 477-2034
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY15522 | CA | Primary |
| Clinical Psychologist | 103TC0700X | PSY15522 | CA | |
| Forensic Psychologist | 103TF0200X | PSY15522 | CA | |
| Rehabilitation Psychologist | 103TR0400X | PSY15522 | CA |
Addresses
Primary practice location
820 Bay Ave
208A
Capitola, CA 95010-2140
Mailing address
820 Bay Ave
208
Capitola, CA 95010-2140
Phone (831) 475-1323
Other names 1
- Dr. Joseph Ronald Giallo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY15522 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233878400000",
"number": "1811902232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 BAY AVE",
"address_2": "208",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950102140",
"telephone_number": "831-475-1323",
"fax_number": "831-477-2034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 BAY AVE",
"address_2": "208A",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950102140",
"telephone_number": "831-475-1323",
"fax_number": "831-477-2034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIALLO",
"first_name": "JOSEPH",
"middle_name": "RONALD",
"name_prefix": "Dr.",
"credential": "ED.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2009-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY15522",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY15522",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY15522",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "CA",
"license": "PSY15522",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOSEPH",
"last_name": "GIALLO",
"middle_name": "RONALD",
"prefix": "DR.",
"credential": "ED.D",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Capitola, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.