Jeremy Gallas, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0790 Issued in NV

Practice address

2518 Anthem Village Dr Ste 103
Henderson, NV 89052-5554

Phone

(702) 824-9639

Fax

(725) 214-3420

NPI assigned

Sep 22, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• VR Therapy Las Vegas, Inc.

  • Community/Behavioral Health Agency
  • Henderson, NV
  • NPI 1033669627
  Medicare reassignment Authorized official
• Sandstone Psychological Practice

  • Counseling Psychologist
  • Henderson, NV
  • NPI 1346658523

  Clinical

  NPD (past)

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1851840656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777117",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890777117",
            "telephone_number": "702-824-9639",
            "fax_number": "725-214-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 ANTHEM VILLAGE DR STE 103",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525554",
            "telephone_number": "702-824-9639",
            "fax_number": "725-214-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAS",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-22",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NV",
            "license": "PY0790",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NV",
            "license": "PY0790",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0790",
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NV",
            "license": "PY0790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kesha Galiardi
• Yanet Galicia Perez
• Claire Marianna Galin, D.O.
• Kelly Gallagher
• Ronald J Gallagher Jr., P.T.
• Lonnie Gallas
• Nichole Gallegos
• Galleria Surgery Center, Inc
• Leo Lee Gallofin, MD
• Deborah Galusha, RN

• Clinical Psychologist in Henderson, NV
• Providers in Henderson, NV by specialty
• Clinical Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.