DR. JOHN THOMAS GALLAGHER


Address: 6100 Newport Rd, Suite 222, Portage, MI 49002-9235
Phone: 2693241248

DR. JOHN THOMAS GALLAGHER (NPI# 1750472387) 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) 1750472387
Entity Type Individual
Full Name DR. JOHN THOMAS GALLAGHER
Credential ED.D.
Practice Address 6100 Newport Rd
Suite 222
Portage
MI 49002-9235
Practice Telephone 2693241248
Practice Fax Number 2693241263
Mailing Telephone 2693241248
Mailing Fax Number 2693241263
Enumeration Date 2006-09-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 6301000929 MI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI BLUE CROSS BLUE SHIELD 680C94538 01

Other Providers JOHN GALLAGHER

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1104931708 John Patrick Gallagher II Psychologist 5524 S Emerson Ave, Indianapolis, IN 46237-2517 2006-08-21
1598772535 John Charles Gallagher Internal Medicine 2 Chelsea Blvd, Houston, TX 77006-6202 2006-08-02
1023051091 John T Gallagher Family Medicine 9200 New Harmony Rd, Evansville, IN 47720-8938 2006-06-14
1316987217 John Ryan Gallagher Orthopaedic Surgery 3216 N Main St, Altus, OK 73521-1307 2006-06-08

Office Location

Street Address 6100 NEWPORT RD
SUITE 222
City PORTAGE
State MI
Zip Code 49002-9235

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144835133 Rachel Mills Counselor 6100 Newport Rd, Portage, MI 49002-9235 2020-09-15
1326436395 Samita Shah Physician Assistant 6100 Newport Rd, Portage, MI 49002-9235 2014-12-29
1396143079 Terrill Psychological Services Pllc Psychologist 6100 Newport Rd, Suite 204, Portage, MI 49002-9235 2014-12-12
1710393798 Jackson Grayson & Campbell In Home Supportive Care 6100 Newport Rd, Suite 208, Portage, MI 49002-9235 2014-07-10
1407267529 Jeff Emmer In Home Supportive Care 6100 Newport Rd, Suite 208, Portage, MI 49002-9235 2014-05-12
1922268861 John T. Gallagher and Associates, P.l.c. Psychologist 6100 Newport Rd, Suite 222, Portage, MI 49002-9235 2008-06-13
1225252356 David Frank Fatzinger Psychologist 6100 Newport Rd, Suite 222, Portage, MI 49002-9235 2007-04-12
1265593685 Jessica L Umlor Physician Assistant 6100 Newport Rd, Suite 100, Portage, MI 49002-9235 2006-12-12
1750475695 Paul W Wang Dermatology 6100 Newport Rd, Suite 100, Portage, MI 49002-9235 2006-10-03
1558455311 Amber B Matthysse Physician Assistant 6100 Newport Rd, Suite 100, Portage, MI 49002-9235 2006-10-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932604204 Susan Vandewalker Physical Therapist 8001 Angling Rd., Portage, MI 49002 2018-03-28
1134634934 Portage Chiropractic and Wellness Center Chiropractor 609 E. Centre, Portage, MI 49002 2017-12-04
1548620537 Patricia Eid Behavioral Analyst 1016 E Milham Ave, Suite 2, Portage, MI 49002 2016-03-03
1386045383 Pinnacle Senior Care of Kalamazoo, LLC Home Health 2725 Airview Blvd Ste 105b, Portage, MI 49002 2014-09-09
1104241611 Meredith Ayers Holland Behavioral Analyst 9616 Portage Road, Portage, MI 49002 2014-02-20
1619211919 Daketia L Thomas Massage Therapist 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 2012-11-27
1831457142 Kinetic Kids, LLC Occupational Therapist 540 East Milham, Portage, MI 49002 2012-04-25
1154689404 Lauren Michelle Mattaliano Occupational Therapist 540 E. Milham Road, Portage, MI 49002 2012-04-24
1114219227 South Michigan Psychiatric Services LLC Psychiatry & Neurology 5390 Lovers Ln, Third Floor, Portage, MI 49002 2011-05-07
1174836316 Premier Neuropsychiatry Plc Psychiatry & Neurology 5930 Lovers Lane, Portage, MI 49002 2010-07-16
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780633388 Sandra W Bowker Clinical Neuropsychologist 5148 Lovers Ln Ste 2, Portage, MI 49002-1572 2006-05-09
1740549120 Comprehensive Neuropsychological Services PC Clinical Neuropsychologist 7320 Garden Ln, Portage, MI 49002-4423 2012-05-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265046098 Axon Psychology Group, PC Clinical Neuropsychologist 1377 Stonecreek Ct, Saint Joseph, MI 49085-9795 2020-08-31
1548814965 Emily Nicole Robinett-ferrara Clinical Neuropsychologist 14050 Kingston St, Oak Park, MI 48237-1140 2019-07-25
1649782244 Matthew Kadrich Clinical Neuropsychologist 3334 Rochester Rd # 205, Troy, MI 48083-5426 2017-11-04
1992237176 Lauren Marie Golla Clinical Neuropsychologist 111 E Court St Ste 1b, Flint, MI 48502-1649 2017-03-28
1750839783 Ace Psychological Consultants LLC Clinical Neuropsychologist 1920 Livernois Rd Ste D, Troy, MI 48083-1770 2016-09-20
1922556406 Kenya Hameed Clinical Neuropsychologist 111 East Court St, Suite 1b-1, Flint, MI 48502 2016-09-14
1841609369 Crystal Young Clinical Neuropsychologist 1550 E Beltline Ave Se, Suite 340, Grand Rapids, MI 49506-4301 2014-08-08
1497165146 Woojin Song Clinical Neuropsychologist 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105-2969 2014-05-03
1831516152 Ira Lourie, Psy.d., Pllc Clinical Neuropsychologist 30051 High Valley Rd, Farmington Hills, MI 48331-2144 2014-03-25
1306272042 Erin Mark Clinical Neuropsychologist 2010 Hogback Rd Ste 6g, Ann Arbor, MI 48105-8800 2013-09-25
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Competitor

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City PORTAGE
Zip Code 49002

Improve Information

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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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