Dominic Lorenzo Galvez, PSY.D.

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

PY11477 Issued in FL

Practice address

5190 NW 167TH St Ste 215
Miami Lakes, FL 33014-6338

Phone

(305) 456-4147

NPI assigned

May 10, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1932845245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4969 SW 136TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755127",
            "telephone_number": "305-608-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST STE 215",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146338",
            "telephone_number": "305-456-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVEZ",
        "first_name": "DOMINIC",
        "middle_name": "LORENZO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "FL",
            "license": "PY11477",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MS",
            "license": "60-1050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Galban
• Veronica Galego, LCSW
• Heberto Roy Galicia, MSPT
• Donald Alfred Gallo, DMD
• Michelle Galvan
• Gama Rehab Services, Inc
• Gama Rehab Services, Inc
• Gregory Gamble, RPH
• Claudia Angelica Gamboa
• Sandra Ganen

• Forensic Psychologist in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Forensic Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.