NPIMap

Organization Active NPI

John T. Gallagher and Associates, P.L.C.

  • Clinical Psychologist
  • Portage, MI
National Provider Identifier
1922268861
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JOHN T. GALLAGHER AND ASSOCIATES, P.L.C.
Practice address
6100 Newport Rd
Suite 222
Portage, MI 49002-9235
Phone
(269) 324-1248
NPI assigned
Jun 13, 2008
Last updated
Aug 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Authorized official

Name
Dr. Shirley A Gallagher, ED.D.NPI 1306937982
Title
Psychologist/Co-Owner
Phone
(269) 324-1248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

6100 Newport Rd
Suite 222
Portage, MI 49002-9235

Mailing address

6100 Newport Rd
Suite 222
Portage, MI 49002-9235
Phone (269) 324-1248

National Provider Directory

National Provider Directory

Locations

6100 Newport Rd
Ste 204
Portage, MI 49002
Phone (269) 370-9677

6100 Newport Rd
Ste 222
Portage, MI 49002
Phone (269) 324-1248

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1922268861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 NEWPORT RD",
            "address_2": "SUITE 222",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490029235",
            "telephone_number": "269-324-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 NEWPORT RD",
            "address_2": "SUITE 222",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490029235",
            "telephone_number": "269-324-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T. GALLAGHER AND ASSOCIATES, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST/CO-OWNER",
        "authorized_official_telephone_number": "269-324-1248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.