Active NPI
Mick Alan Gallinson, PSY.D.
- Clinical Psychologist
- Beverly Hills, CA
National Provider Identifier
1871540914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 19451
- Practice address
- 360 N Bedford Dr
Suite 219
Beverly Hills, CA 90210-5129 - Phone
- (310) 276-3636
- Fax
- (310) 288-0351
- NPI assigned
- May 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 19451 | CA | Primary |
Addresses
Primary practice location
360 N Bedford Dr
Suite 219
Beverly Hills, CA 90210-5129
Mailing address
813 N Citrus Ave
Los Angeles, CA 90038-3403
Phone (323) 463-4650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060807000474 | CA | Practitioner - Clinical Psychologist | 9032112305 | Practice locations: Beverly Hills, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 19451 | CA | MD | Clinical Psychologist |
| 19451 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1871540914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 N CITRUS AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900383403",
"telephone_number": "323-463-4650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 N BEDFORD DR",
"address_2": "SUITE 219",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105129",
"telephone_number": "310-276-3636",
"fax_number": "310-288-0351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLINSON",
"first_name": "MICK",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 19451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.