Individual provider Active NPI

Anne Vandenberg Snow Gallagher, PHD

  • Psychologist
  • Boston, MA
National Provider Identifier
1972875037
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
9477 Issued in MA
Practice address
1295 Boylston St
Boston, MA 02215-3407
Phone
(857) 218-4346
NPI assigned
Feb 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 9477 MA Primary

Addresses

Primary practice location

1295 Boylston St
Boston, MA 02215-3407

Mailing address

1295 Boylston St
Boston, MA 02215-3407
Phone (857) 218-4346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120806000101 MA Practitioner - Clinical Psychologist 1153577234 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
9477MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Pediatric Associates, Inc CurrentSince Jun 1, 2012 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Feb 6, 2018 Accepting new patients

Locations

300 Longwood Ave
Ofc
Boston, MA 02115
Phone (617) 355-8083

75 Francis St
Boston, MA 02115

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

221 Longwood Ave
Boston, MA 02115
Phone (617) 732-4918

1295 Boylston St
Boston, MA 02215
Phone (617) 262-4303

Organizations & group practices 2

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": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1972875037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153407",
            "telephone_number": "857-218-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153407",
            "telephone_number": "857-218-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW GALLAGHER",
        "first_name": "ANNE",
        "middle_name": "VANDENBERG",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "9477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.