SUSAN BERNADETTE GALLAGHER-ROSS


Address: 4710 Nw 2nd Ave, Suite# 104, Boca Raton, FL 33431-4155
Phone: 5613725500

SUSAN BERNADETTE GALLAGHER-ROSS (NPI# 1750621413) 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) 1750621413
Entity Type Individual
Full Name SUSAN BERNADETTE GALLAGHER-ROSS
Credential PHD
Practice Address 4710 Nw 2nd Ave
Suite# 104
Boca Raton
FL 33431-4155
Practice Telephone 5613725500
Mailing Telephone 5613725500
Enumeration Date 2013-02-18
Last Update Date 2015-03-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PY 8823 FL Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
019990 NY Behavioral Health & Social Service Providers

Office Location

Street Address 4710 NW 2ND AVE
SUITE# 104
City BOCA RATON
State FL
Zip Code 33431-4155

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518051069 Mark Ira Minson Psychologist 4710 Nw 2nd Ave, Boca Raton, FL 33431-4879 2006-10-02
1760745459 Mark Minson Phd, Pa Clinic/Center 4710 Nw 2nd Ave, Suite 104, Boca Raton, FL 33431-4879 2012-06-19
1871752709 Rita Lee Ander Social Worker 4710 Nw 2nd Ave, Suite 104, Boca Raton, FL 33431-4861 2008-06-05

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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Competitor

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City BOCA RATON
Zip Code 33431

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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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