CHARLES P. GALLO (NPI# 1174773451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174773451 |
| Entity Type | Organization |
| Organization Name | CHARLES P. GALLO |
| Other Organization Name | EAST SUBURBAN PSYCHOLOGICAL ASSOCIATES |
| Practice Address |
2550 Mosside Blvd Suite 304 Monroeville PA 15146-3540 |
| Practice Telephone | 4123733471 |
| Practice Fax Number | 4123737324 |
| Mailing Telephone | 4123733471 |
| Mailing Fax Number | 4123737324 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |
| Authorized Official Name | DR. CHARLES P GALLO (OWNER) |
| Authorized Official Telephone | 4123733471 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
MD036134L | PA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| East Suburban Psychological Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003109430 | Charles P. Gallo | Counselor | 2550 Mosside Blvd, Suite 304, Monroeville, PA 15146-3540 | 2011-05-18 |
| 1982813812 | Charles P. Gallo | Psychologist | 2550 Mosside Blvd, Suite 304, Monroeville, PA 15146-3540 | 2007-05-21 |
| 1801950209 | Charles P. Gallo | Counselor | 2550 Mosside Blvd, Suite 304, Monroeville, PA 15146-3540 | 2006-12-20 |
| Street Address |
2550 MOSSIDE BLVD SUITE 304 |
| City | MONROEVILLE |
| State | PA |
| Zip Code | 15146-3540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730180308 | Thomas F Bonacorsi | Internal Medicine | 2550 Mosside Blvd, Suite 550, Monroeville, PA 15146-3540 | 2005-08-04 |
| 1235751140 | Nicolas Evan Merzlak | Family Medicine | 2550 Mosside Blvd, Monroeville, PA 15146-3540 | 2020-05-13 |
| 1023587813 | Timothy Patrick Wolfe | Specialist/Technologist, Other | 2550 Mosside Blvd, 4th Floor, Suite 405, Monroeville, PA 15146 | 2018-11-21 |
| 1881191146 | Gregory John Ferenchak | Student in an Organized Health Care Education/Training Program | 2550 Mosside Blvd, Monroeville, PA 15146-3540 | 2018-04-12 |
| 1538618699 | Kelley L Lodovico | Occupational Therapist | 2550 Mosside Blvd, Monroeville, PA 15146-3540 | 2016-09-29 |
| 1306395173 | John J Karp | Physical Therapist | 2550 Mosside Blvd, Monroeville, PA 15146-3540 | 2016-09-22 |
| 1568917409 | Megan Hiers | Physician Assistant | 2550 Mosside Blvd, Suite 405, Monroeville, PA 15146-3533 | 2016-08-21 |
| 1366894685 | Gurinder Sekhon | Family Medicine | 2550 Mosside Blvd, Suite 500, Monroeville, PA 15146-3540 | 2016-07-11 |
| 1952761587 | Dustin Richard Murdoch | Pharmacist | 2550 Mosside Blvd, Suite 210, Monroeville, PA 15146-3540 | 2016-02-24 |
| 1912392002 | Tessa M Kracinovsky | Physician Assistant | 2550 Mosside Blvd, Suite 405, Monroeville, PA 15146-3533 | 2015-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217259 | Danielle Ulrich | Nurse Practitioner | 2626 Haymaker Road, Second Floor, Monroeville, PA 15146 | 2019-10-25 |
| 1659841286 | Catherine Mcewen Wilson | Social Worker | 339 Old Haymaker Road Suite 1102, Monroeville, PA 15146 | 2018-11-27 |
| 1750865432 | Diane Beth Alm | Dietitian, Registered | 2775 Mosside Boulevard Upmc East, Monroeville, PA 15146 | 2018-09-19 |
| 1477040673 | Kyle Hulsebus | Counselor | 339 Haymaker Rd Ste 1102, Monroeville, PA 15146 | 2018-04-13 |
| 1871047365 | Forefront Dermatology, S.c. | Dermatology | 339 Old Haymaker Rd Suite 201, Monroeville, PA 15146 | 2016-08-12 |
| 1801264163 | Danielle Wymard-tomlinson | Nurse Practitioner | 2570 Haymaker Rd Forbes Regional Hospital, Hospital Associates of Pittsburgh, Monroeville, PA 15146 | 2015-09-03 |
| 1902295421 | Andrea Kolano | Speech-Language Pathologist | 244 Center Road, Suite 205, Monroeville, PA 15146 | 2015-01-21 |
| 1366847592 | Grace Wagner | Counselor | 4314 Old William Penn Highway, Suite 204, Monroeville, PA 15146 | 2014-10-30 |
| 1093114001 | Stephanie Crishi | Speech-Language Pathologist | 4124 Monroeville Blvd, Monroeville, PA 15146 | 2014-08-14 |
| 1285052183 | Suzanne Oravetz | Specialist/Technologist | 2550 Mosside Boulevard, Monroeville, PA 15146 | 2014-03-29 |
| Find all providers in zip 15146 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
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| 1871868240 | William Patrick Fowler | Psychologist | 190 Presidential Blvd Unit 510, Bala Cynwyd, PA 19004-1159 | 2012-03-18 |
| 1053649178 | Second Haven Services for Youth Inc. | Psychologist | 633 Lakeside Dr, Tobyhanna, PA 18466-9792 | 2009-12-01 |
| 1174735518 | Nemesia G. Castro | Psychologist | 4301 Rising Sun Ave, Philadelphia, PA 19140-2719 | 2007-05-06 |
| 1831311687 | Feliks Shapiro | Psychologist | 1631 Rockcress Dr, Jamison, PA 18929-1646 | 2007-05-02 |
| 1316166226 | Cory De Torres | Psychologist | 2129 Spring Garden St, Philadelphia, PA 19130-3503 | 2007-04-25 |
| 1497973911 | Judith Temple Jackson | Psychologist | 125 Coulter Ave, Floor 2, Ardmore, PA 19003-2410 | 2007-04-22 |
| 1457740797 | The Center for Allied Psychiatry & Psychology Services | Psychologist | 404 E High St, Pottstown, PA 19464-5622 | 2015-01-09 |
| 1114253770 | Bbh, LLC | Psychologist | 70 2nd St, Brookville, PA 15825-1556 | 2009-11-02 |
| Find all providers with the same taxonomy | ||||
| City | MONROEVILLE |
| Zip Code | 15146 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.