DR. JENNIFER GALLO (NPI# 1316487416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316487416 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER GALLO |
| Credential | PHD |
| Practice Address |
245 N 15th St Room 8101 Philadelphia PA 19102-1101 |
| Mailing Address |
245 N 15th St Room 8101 Philadelphia PA 19102 |
| Practice Telephone | 2157626915 |
| Mailing Telephone | 2672590016 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2019-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PS017736 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790101061 | Jennifer Gallo | Occupational Therapist | 2218 E 60th Pl, Brooklyn, NY 11234-6404 | 2014-03-11 |
| 1871800276 | Jennifer Gallo | Speech-Language Pathologist | 8 43rd St, Centereach, NY 11720-2325 | 2010-09-07 |
| 1811174733 | Jennifer Lynn Gallo | Licensed Practical Nurse | 36 Morning Dr, Centereach, NY 11720-2317 | 2008-01-22 |
| 1750584660 | Jennifer Carmela Gallo | Social Worker | 166 Old Brookfield Rd Unit 1-4, Danbury, CT 06811-4030 | 2007-06-07 |
| 1912905290 | Jennifer L. Gallo | Optometrist | 900 Pine Island Road, Cape Coral, FL 33991 | 2005-07-12 |
| 1861035099 | Jennifer Gallo | Behavior Technician | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2019-10-21 |
| 1104382944 | Jennifer Gallo | Occupational Therapist | 484 Main St Ste 600, Worcester, MA 01608-1881 | 2019-02-18 |
| 1275664559 | Jennifer Lee Gallo | Physical Therapist | 30 S Main St, Poland, OH 44514-1914 | 2007-03-08 |
| 1922076843 | Jennifer M. Gallo | Physician Assistant | 100 N Academy Ave, Danville, PA 17822-2170 | 2006-03-08 |
| Street Address |
245 N 15TH ST ROOM 8101 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956137 | Sarah Brook Wenger | Physical Therapist | 245 N 15th St, Ms 502, Philadelphia, PA 19102-1101 | 2005-07-14 |
| 1215598396 | Randa Abbas Elsiddig Dafalla | Pathology | 245 N 15th St, Philadelphia, PA 19102-1101 | 2019-06-27 |
| 1821659384 | Mojisola Olufunmilayo Popoola | Pathology | 245 N 15th St, Philadelphia, PA 19102-1198 | 2019-06-25 |
| 1447811955 | Michael Anthony Kritselis | Pathology | 245 N 15th St, Philadelphia, PA 19102-1101 | 2019-06-25 |
| 1053972729 | Christopher Scott Bodden | Internal Medicine | 245 N 15th St, 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-24 |
| 1326609264 | Jakub Halicki | Internal Medicine | 245 N 15th St, Philadelphia, PA 19102-1198 | 2019-06-21 |
| 1275192718 | Vittorio Romeo Terrigno | Internal Medicine | 245 N 15th St, Philadelphia, PA 19102-1101 | 2019-06-09 |
| 1114586732 | Arthur Hongbin Kim | Surgery | 245 N 15th St, Philadelphia, PA 19102-1101 | 2019-06-07 |
| 1568957595 | Caleb Richard Schatz Mcentire | Internal Medicine | 245 N 15th St, 6th Floor, Ms 427, Philadelphia, PA 19102 | 2018-06-22 |
| 1093209157 | Christopher Stout | Internal Medicine | 245 N 15th St, 6th Floor, Ms 427, Philadelphia, PA 19102 | 2018-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092312 | Katie Fabius | Clinical Neuropsychologist | 230 S Broad St Ste 1005, Philadelphia, PA 19102-4105 | 2020-01-08 |
| 1609228022 | Michael E. Keesler | Clinical Neuropsychologist | 77 Rochelle Ave, Philadelphia, PA 19128-3809 | 2016-07-09 |
| 1023463106 | Chelsea Black | Clinical Neuropsychologist | 3405 Civic Center Blvd Rm 107, Philadelphia, PA 19104-4319 | 2016-04-26 |
| 1285088914 | Megan Alana Perrin | Clinical Neuropsychologist | 1510 Manton St, Philadelphia, PA 19146-3129 | 2016-04-19 |
| 1104207190 | Kelly M. Janke | Clinical Neuropsychologist | 3501 Civic Center Blvd # 10209, Philadelphia, PA 19104-3820 | 2015-06-15 |
| 1861637381 | Dr. Shan Psychiatry Clinic LLC | Clinical Neuropsychologist | 756 Adams Ave, Philadelphia, PA 19124-2330 | 2008-12-12 |
| 1225184468 | Cornelius Furgueson | Clinical Neuropsychologist | 1801 Vine St, Room 149-mg, Philadelphia, PA 19103-1117 | 2007-01-27 |
| 1588711006 | Diversified Psychological Resources, P.C. | Clinical Neuropsychologist | 230 S. Broad St., Suite 1005, Philadelphia, PA 19102-4105 | 2007-01-05 |
| 1407879430 | Carol L Armstrong | Clinical Neuropsychologist | 100 N 20th St, Philadelphia, PA 19103-1443 | 2006-07-25 |
| 1558381251 | Edward A Maitz | Clinical Neuropsychologist | 117 S 17th St, Suite 1700, Philadelphia, PA 19103-5025 | 2006-07-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
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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.