Individual provider Active NPI

Stacey Gagliano, PHD, NCSP

  • Psychologist
  • Warrington, PA
National Provider Identifier
1972275204
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS019412 Issued in PA
Practice address
1243 Easton Rd Ste 203
Warrington, PA 18976-3801
Phone
(215) 491-1119
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS019412 PA Primary

Addresses

Primary practice location

1243 Easton Rd Ste 203
Warrington, PA 18976-3801

Mailing address

1243 Easton Rd Ste 203
Warrington, PA 18976-3801
Phone (215) 491-1119

Other names 1

  • Miss Stacey Perlman Former name

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS019412PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Neuropsychology & Counseling, PC CurrentSince Oct 10, 2021 Accepting new patients

Locations

1243 Easton Rd
Ste 203
Warrington, PA 18976
Phone (215) 491-1119

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1972275204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 EASTON RD STE 203",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189763801",
            "telephone_number": "215-491-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 EASTON RD STE 203",
            "city": "WARRINGTON",
            "state": "PA",
            "postal_code": "189763801",
            "telephone_number": "215-491-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGLIANO",
        "first_name": "STACEY",
        "name_prefix": "Dr.",
        "credential": "PHD, NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS019412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "PERLMAN",
            "prefix": "MISS",
            "credential": "MA, NCSP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warrington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.