Active NPI
Brian Gallagher Psy.D. LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bala Cynwyd, PA
National Provider Identifier
1871949719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- BRIAN GALLAGHER PSY.D. LLC
- Practice address
- 111 Presidential Blvd
Suite 237
Bala Cynwyd, PA 19004-1008 - Phone
- (267) 847-9560
- NPI assigned
- May 10, 2016
- Last updated
- May 10, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian Gallagher, PSYD
- Title
- Psychologist/Owner
- Phone
- (267) 847-9560
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
111 Presidential Blvd
Suite 237
Bala Cynwyd, PA 19004-1008
Mailing address
111 Presidential Blvd
Suite 237
Bala Cynwyd, PA 19004-1008
Phone (267) 847-9560
National Provider Directory
National Provider DirectoryLocations
111 Presidential Blvd
Ste 237
Bala Cynwyd, PA 19004
Phone (215) 849-8133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462838400000",
"number": "1871949719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 PRESIDENTIAL BLVD",
"address_2": "SUITE 237",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041008",
"telephone_number": "267-847-9560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 PRESIDENTIAL BLVD",
"address_2": "SUITE 237",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041008",
"telephone_number": "267-847-9560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN GALLAGHER PSY.D. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-10",
"last_updated": "2016-05-10",
"status": "A",
"authorized_official_last_name": "GALLAGHER",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
"authorized_official_telephone_number": "267-847-9560",
"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 Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.