DR. MATTHEW W GALLAGHER (NPI# 1326475690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326475690 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW W GALLAGHER |
| Credential | PHD |
| Practice Address |
150 S Huntington Ave National Center for Ptsd (116b-2) Boston MA 02130-4817 |
| Practice Telephone | 8573644079 |
| Mailing Telephone | 8573644079 |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2015-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
9760 | MA | Behavioral Health & Social Service Providers |
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
9760 | MA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134756620 | Matthew David Gallagher | Physical Therapist | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-03-24 |
| 1467960799 | Matthew Gallagher | Behavior Technician | 12 Monument Dr, Stafford, VA 22554-8508 | 2018-01-22 |
| 1104283951 | Matthew Gallagher | Occupational Therapist | 1091 Park Dr, Suite B, Watkinsville, GA 30677-2014 | 2016-01-25 |
| 1023443090 | Matthew Brett Gallagher | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2013-09-10 |
| 1063656023 | Matthew T Gallagher | Counselor | 7926 W 21st St N, Wichita, KS 67205-1742 | 2009-04-21 |
| 1144301078 | Matthew J Gallagher | Chiropractor | 502 Greene Ave, Green Bay, WI 54301-2820 | 2006-10-18 |
| Street Address |
150 S HUNTINGTON AVE NATIONAL CENTER FOR PTSD (116B-2) |
| City | BOSTON |
| State | MA |
| Zip Code | 02130-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500429 | Thomas Peter Fantes | Family Medicine | 150 S Huntington Ave, Boston, MA 02130-4817 | 2005-06-30 |
| 1225640758 | Juliette Mcclendon-iacovino | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-08-17 |
| 1912524232 | William A Delaney | Social Worker | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-07-02 |
| 1659997948 | Thomas Favale | Dentist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-06-22 |
| 1972129385 | Anisha Pandya | Dentist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-06-22 |
| 1194347849 | Amanda Vessels | Student in an Organized Health Care Education/Training Program | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-05-15 |
| 1275155947 | Rachel Nicole Werner | Student in an Organized Health Care Education/Training Program | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-05-15 |
| 1235750639 | Michelle Lee Bourgeois | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-04-27 |
| 1962031617 | Tina Khieu | Student in an Organized Health Care Education/Training Program | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-04-05 |
| 1083240238 | Southey Saul | Psychologist | 150 S Huntington Ave, Boston, MA 02130-4817 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861887721 | Boston Vamc | Clinic/Center | 150 S Huntington Ave, Boston, MA 02130-4817 | 2015-03-30 |
| 1841386448 | Department of Veterans Affairs | Clinic/Center | 251 Causeway St, Room 265, Boston, MA 02114 | 2006-10-04 |
| 1912958596 | Boston Vamc | Clinic/Center | 251 Causeway St, Boston, MA 02114-2148 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407399298 | Northampton Vamc | Clinic/Center | 55 N. Lake Avenue, 7th Floor, Worcester, MA 01655-0002 | 2016-11-28 |
| 1265832943 | Milton Vazquez | Clinic/Center | 95 Ashley Ave Ste A, Springfield Vet Center, West Springfield, MA 01089-1352 | 2014-08-29 |
| 1659665537 | Northampton Vamc | Clinic/Center | 881 Main Street, Phillip J. Philbin Federal Building, Fitchburg, MA 01420-3057 | 2011-06-08 |
| 1083767503 | Northampton Vamc | Clinic/Center | 143 Munson St, Greenfield, MA 01301-9694 | 2007-01-19 |
| 1033156518 | Northampton Vamc | Clinic/Center | 73 Eagle St, Pittsfield, MA 01201-4714 | 2006-06-01 |
| 1902851306 | Providence Vamc | Clinic/Center | 233 Stevens St, Hyannis, MA 02601-3766 | 2006-05-23 |
| 1417301714 | Northampton Vamc | Clinic/Center | 377 Plantation St, Building #4, Worcester, MA 01605-2300 | 2016-04-22 |
| 1952650525 | Boston Vamc | Clinic/Center | 116 Long Pond Rd, Plymouth, MA 02360-2663 | 2012-08-29 |
| 1669766564 | Northampton Vamc | Clinic/Center | 605 Lincoln St, Worcester, MA 01605-1901 | 2011-06-08 |
| 1679626949 | Northampton Vamc | Clinic/Center | 25 Bond St, Springfield, MA 01104-3401 | 2007-01-19 |
| Find all providers with the same taxonomy | ||||
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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.