DR. ADRIENNE BLAIRE GALLO (NPI# 1962927194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962927194 |
| Entity Type | Individual |
| Full Name | DR. ADRIENNE BLAIRE GALLO |
| Credential | PSYD |
| Practice Address |
1930 S Broad St Philadelphia PA 19145-2328 |
| Mailing Address |
3512 Quentin Rd Ste 110 Brooklyn NY 11234-4245 |
| Practice Telephone | 8008975252 |
| Mailing Telephone | 7189426595 |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS018448 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1930 S BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19145-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437107596 | Khoi Dang | Pediatrics | 1930 S Broad St, 2nd Floor, Philadelphia, PA 19145-2328 | 2006-05-04 |
| 1124628060 | Kristen Mulray | Psychologist | 1930 S Broad St, Philadelphia, PA 19145-2328 | 2020-10-29 |
| 1700438660 | Malvern Constitution LLC | Psychiatric Hospital | 1930 S Broad St, Philadelphia, PA 19145-2328 | 2019-07-11 |
| 1629540802 | Vivek N Brahmbhatt | Pharmacist | 1930 S Broad St, Philadelphia, PA 19145-2328 | 2018-12-27 |
| 1902313810 | Reeba Baboo | Speech-Language Pathologist | 1930 S Broad St, Philadelphia, PA 19145-2328 | 2018-01-02 |
| 1679082465 | Krista Coons | Psychologist | 1930 S Broad St, Philadelphia, PA 19145-2328 | 2017-09-25 |
| 1710428859 | Kathleen Jasion | Counselor | 1930 S Broad St, Philadelphia, PA 19145-2328 | 2017-03-08 |
| 1053766089 | Acute Care Physicians of Philadelphia LLC | Internal Medicine | 1930 S Broad St, Philadelphia, PA 19145-2328 | 2016-04-27 |
| 1285009696 | Dorothy Latella-zakhireh | Clinical Neuropsychologist | 1930 S Broad St, Ima, Philadelphia, PA 19145 | 2015-12-10 |
| 1740668409 | Ima Professional Services of Pa, PC | Public Health or Welfare | 1930 S Broad St, Suite 11, Philadelphia, PA 19145-2328 | 2015-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376069559 | Kyle James Hughes | Physical Therapist | 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 | 2017-08-18 |
| 1821519752 | John A Takacs Dmd | Clinic/Center | 1707w Passyunk Ave, Philadelphia, PA 19145 | 2017-06-30 |
| 1033573209 | Kenneth Donahue | Dentist | 1517 Packer Avenue, Philadelphia, PA 19145 | 2016-04-13 |
| 1437516895 | Kimberly Wyand | Physical Therapist | 2129 Oregon St, Philadelphia, PA 19145 | 2016-01-15 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| 1528333846 | Gina Marie Doyle | Registered Nurse | 1930 S. Broad Street, Philadelphia, PA 19145 | 2012-03-20 |
| 1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
| 1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| Find all providers in zip 19145 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851092 | Erica Marla Schulte | Psychologist | 3535 Market St Ste 3032, Philadelphia, PA 19104-3313 | 2020-11-02 |
| 1376159780 | Kristi Corcoran | Psychologist | 212 Catharine St Apt 5, Philadelphia, PA 19147-3398 | 2020-09-21 |
| 1033723317 | Casey Joan Zampella | Psychologist | 2716 South St Ofc 5322, Philadelphia, PA 19146-2305 | 2020-09-03 |
| 1265053755 | Shirley Brown | Psychologist | 210 W Rittenhouse Sq Ste 404, Philadelphia, PA 19103-5771 | 2020-05-06 |
| 1518507912 | Tamara Christine Hill | Psychologist | 245 Cherry St Apt 3f, Philadelphia, PA 19106-1991 | 2020-01-14 |
| 1023658168 | Susan Schack Kelly | Psychologist | 8609 Germantown Ave # 2f, Philadelphia, PA 19118-2863 | 2020-01-07 |
| 1265070379 | Jeannine Cicco Barker | Psychologist | 100 S Broad St Ste 915, Philadelphia, PA 19110-1016 | 2019-12-19 |
| 1003453952 | Bridget Smith | Psychologist | Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 | 2019-12-10 |
| 1235790007 | Stephanie Manasse | Psychologist | 3201 Chestnut St, Philadelphia, PA 19104-3370 | 2019-06-24 |
| 1003376690 | Margaux Desjardins | Psychologist | 2200 Saint James Pl, Philadelphia, PA 19103-5502 | 2019-03-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19145 |
Please comment or provide details below to improve the information on DR. ADRIENNE BLAIRE GALLO.
| 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.