PROF. DAVID E GALLICK (NPI# 1720294242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720294242 |
| Entity Type | Individual |
| Full Name | PROF. DAVID E GALLICK |
| Credential | LSW,LMFT |
| Practice Address |
480 Pierce St Suite 300 Kingston PA 18704-5512 |
| Practice Telephone | 5705742738 |
| Mailing Telephone | 5705742738 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2014-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MF000271 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184792947 | David J Gallick | Pathology | 93 Campus Ave, Lewiston, ME 04240-6030 | 2006-12-01 |
| Street Address |
480 PIERCE ST SUITE 300 |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-5512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467451591 | Paul Thomas Taren | Psychologist | 480 Pierce St, Suite 115, Kingston, PA 18704-5512 | 2005-07-20 |
| 1649881665 | Jamie Judge | Social Worker | 480 Pierce St, Kingston, PA 18704-5512 | 2020-08-13 |
| 1275981573 | Wyoming Valley Alcohol and Drug Services Inc | Counselor | 480 Pierce St, 316-317, Kingston, PA 18704-5512 | 2016-05-26 |
| 1174971527 | Griswold International, LLC | In Home Supportive Care | 480 Pierce St, Kingston, PA 18704-5512 | 2016-05-26 |
| 1891036117 | Matrix Wound Supply | Durable Medical Equipment & Medical Supplies | 480 Pierce St, Suite 101, Kingston, PA 18704-5512 | 2013-03-12 |
| 1144578758 | Diana Cuello | Psychologist | 480 Pierce St, Suite 305, Kingston, PA 18704-5512 | 2012-08-29 |
| 1508111881 | Debra A Pavlico | Counselor | 480 Pierce St, New Bridge Center, Suite 206, Kingston, PA 18704-5512 | 2012-07-23 |
| 1699034934 | Stephen M. Timchack, Psyd, P.C. | Psychologist | 480 Pierce St, Suite 119, Kingston, PA 18704-5512 | 2012-05-07 |
| 1467723866 | Blaum Breast Care Specialist LLC | Surgery | 480 Pierce St, New Bridge Center, Suite #312-314, Kingston, PA 18704-5512 | 2012-01-18 |
| 1699912691 | Abby Russin, Ph.d., LLC | Psychologist | 480 Pierce St, Suite 119, Kingston, PA 18704-5756 | 2009-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538590351 | Sarah Littlefield | Marriage & Family Therapist | 508 N Kentucky St Ste 4, Kingston, TN 37763-2679 | 2013-12-04 |
| 1922276393 | Kris Harrington | Marriage & Family Therapist | 28 Lafayette Ave, Kingston, NY 12401-4408 | 2008-02-19 |
| 1306057997 | Marjorie Lucy Regan | Marriage & Family Therapist | 28 Vista Dr, Kingston, NY 12401-4757 | 2007-05-24 |
| 1619015781 | Constance Pierson Fitzelle | Marriage & Family Therapist | 13 Linden Dr, Kingston, RI 02881 | 2007-02-02 |
| 1912056060 | Roni Schnadow | Marriage & Family Therapist | 41 Pearl St, Kingston, NY 12401-4552 | 2007-01-09 |
| 1033655923 | Eric Greer, Pllc | Marriage & Family Therapist | 211 Main St, Kingston, MA 02364-1932 | 2017-01-16 |
| 1871992826 | Thomas Eric Greer | Marriage & Family Therapist | 211 Main St, Kingston, MA 02364-1932 | 2014-08-15 |
| 1255603601 | Jennifer M. Kirchner | Marriage & Family Therapist | 1 Family Practice Dr, Suite 3, Kingston, NY 12401-6449 | 2012-02-01 |
| 1821394420 | Kristen Harrington Marriage & Family Therapy, PC | Marriage & Family Therapist | 28 Lafayette Ave, Kingston, NY 12401-4408 | 2011-01-31 |
| 1124296900 | Chandra Mcmullen | Marriage & Family Therapist | 183 Fiddlers Ln, Kingston, TN 37763-4020 | 2008-02-14 |
| Find all providers in KINGSTON | ||||
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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.