MICHELLE GALLAGHER


Address: Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210
Phone: 3154643446

MICHELLE GALLAGHER (NPI# 1265099022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265099022
Entity Type Individual
Full Name MICHELLE GALLAGHER
Other Name SHELLEY GALLAGHER
Credential PH.D.
Practice Address Upstate Medical University
750 E. Adams St.
Syracuse
NY 13210
Mailing Address 429 Roosevelt Ave Apt 3
Syracuse
NY 13210-3144
Practice Telephone 3154643446
Mailing Telephone 9176852284
Enumeration Date 2019-05-28
Last Update Date 2019-05-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
013537-01 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY LIMITED PERMIT TO PRACTICE PSYCHOLOGY IN NEW YORK STATE 013537-01 01

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Office Location

Street Address UPSTATE MEDICAL UNIVERSITY
750 E. ADAMS ST.
City SYRACUSE
State NY
Zip Code 13210

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558973586 Maizie Marie Shaw Social Worker 660 Madison Street, Syracuse, NY 13210 2020-08-20
1427666916 Christine Marie Welker Registered Nurse 735 Irving Avenue, Syracuse, NY 13210 2020-07-21
1386263994 Ashwini Krishna Ashwath Student in an Organized Health Care Education/Training Program 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 2020-04-14
1073142329 Kamala Ojha Student in an Organized Health Care Education/Training Program 750-east Adam's Street, Syracuse, NY 13210 2020-04-07
1003442369 Brittany Nicole Lippert Counselor 615 Madison St, Syracuse, NY 13210 2020-03-19
1902430499 Dkt Physician Pllc Internal Medicine 475 Irving Ave, Suite 410, Syracuse, NY 13210 2020-02-24
1376194720 Sarah Van Eenenaam Physician Assistant Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 2019-09-26
1639659428 Francesca Wanda Cotrupe Physical Medicine & Rehabilitation Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 2018-08-21
1700370327 Dallin Lindahl Physical Medicine & Rehabilitation 750 E Adams St # Jh308, Syracuse, NY 13210 2018-06-18
1699283770 Karla Beth Murphy Social Worker 635 Madison Street, Syracuse, NY 13210 2018-01-11
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982940672 Natalie Russo Psychologist 403 Huntington Hl, Syracuse University Dept. of Psychology, Syracuse, NY 13244-0001 2012-12-27
1538464417 Joshua Charles Felver Psychologist Syracuse University Ctr, 804 University Ave., Suite 201, Syracuse, NY 13244-0001 2011-01-24
1548559289 Sarah Lauren Felver Psychologist 4317 E Genesee St, Suite 202, Syracuse, NY 13214-2114 2011-04-04
1649319203 Monique Winnett Psychologist 742 James St, Syracuse, NY 13203-2017 2007-02-06

Providers in the same taxonomy and state

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1659996718 Marlee Schwartz Psychologist 351 Manville Rd Ste 104&109, Pleasantville, NY 10570-2152 2020-06-14
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1922630631 Juliet Lisa Collingwood Psychologist 471 13th St, Brooklyn, NY 11215-5206 2020-02-11
1578102513 Anne Austin Weissenberger Psychologist 144 King St, Chappaqua, NY 10514-3499 2019-12-21
1114560398 Alison Melville Locker Psychologist 375 Greenwich St Ste 812, New York, NY 10013-2376 2019-10-21
1417502543 Norma Linda Doft Psychologist 295 Central Park W Ofc 4a, New York, NY 10024-3021 2019-08-06
1194387456 Allison Canfield Psychologist Developmental & Behavioral Pediatrics 601 Elmwood Ave, Rochester, NY 14642-0001 2019-07-07
1043870728 Sarah Donovan Psychologist 5151 Fieldstone Trl, Canandaigua, NY 14424-8245 2019-06-16
1063983757 Miriam Shields Psychologist 13681 71st Rd, Flushing, NY 11367-1942 2018-12-06
1013488766 Harvey Zeichner Psychologist 186 Joralemon St Fl 2, Brooklyn, NY 11201-4326 2018-12-06
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Competitor

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City SYRACUSE
Zip Code 13210

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Dataset Information

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.

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