Mary Carnesale Gallagher, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

020719 Issued in NY

Practice address

1115 Broadway FL 12
New York, NY 10010-3452

Phone

(917) 960-3061

NPI assigned

Apr 22, 2014

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1952721623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103450",
            "telephone_number": "917-960-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 BROADWAY FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100103452",
            "telephone_number": "917-960-3061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Marcus Ave",
            "address_2": "Suite E128",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110422061",
            "country_code": "US",
            "telephone_number": "516-390-3525 x26",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 2nd Pl",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112314101",
            "country_code": "US",
            "telephone_number": "917-960-3061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "MARY",
        "middle_name": "CARNESALE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "P90940",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine M Gallagher, PSY.D.
• Kelli Ann Gallagher, RPA-C
• Kelly Brennan Gallagher, LMSW
• Keri Gallagher
• Lucy G Gallagher, LCSWR
• Mary Patricia Gallagher
• Maureen Kathleen Gallagher, DDS
• Meghan Eileen Gallagher, LCSW
• Melinda A Gallagher, M.A., LMHC
• Michael R. Gallagher, PHD

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.