Active NPI
Michael Christopher Gallo, PSYD
- Psychologist
- Eugene, OR
National Provider Identifier
1962653931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 981 W 3Rd Ave
Eugene, OR 97402-4924 - Phone
- (707) 616-6126
- NPI assigned
- Oct 8, 2008
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
981 W 3Rd Ave
Eugene, OR 97402-4924
Mailing address
981 W 3Rd Ave
Eugene, OR 97402-4924
Phone (707) 616-6126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3205 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1962653931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "981 W 3RD AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974024924",
"telephone_number": "707-616-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "981 W 3RD AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974024924",
"telephone_number": "707-616-6126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLO",
"first_name": "MICHAEL",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-08",
"last_updated": "2021-10-07",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.