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DR. MARIEL ANN GALLEGO PH.D.
NPI 1235442229
Psychologist - Clinical in New York, NY

Active since July 19, 2010PECOS EnrolledAccepts Medicare Assignment
1111 AMSTERDAM AVE, CLARK 6TH FLOOR, NEW YORK, NY 10025(212) 523-6500(212) 523-5677 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mariel Ann Gallego Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIEL ANN GALLEGO PH.D. (NPI 1235442229) is an individual clinical provider in New York, New York, licensed in New York (019195) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai St Luke's Roosevelt Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1235442229
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARIEL ANN GALLEGOCredential: PH.D.
Location Address1111 AMSTERDAM AVE, CLARK 6TH FLOORNew York, NY 10025-1716
Mailing Address1111 Amsterdam Ave, Clark 6th FloorNew York, NY 10025-1716 · (212) 523-6500 · Fax (212) 523-5677
Phone(212) 523-6500
Fax(212) 523-5677
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 19, 2010
Last NPPES UpdateSeptember 26, 2016
✔ NPI 1235442229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 019195
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1111 AMSTERDAM AVE, New York, NY 10025
Open in Google Maps ↗

Other Identifiers 2

OtherA400136789NY · Medicare Ptan
Medicaid03394272NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mariel Ann Gallego Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527230382
PECOS Enrollment IDI20111020000654
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TAKEHIRO KASAHARA D.M.D.
Dentist (Oral and Maxillofacial Surgery)
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-3171
DR. MELVIN KU M.D.
Emergency Medicine
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-3981
RAVI KATARI
Emergency Medicine
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-4000
YAMINI POTINI MD
Hospitalist
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-4000
HANNAH KITTRELL RD, CDN
Dietitian, Registered
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-3618
DR. STANLEY CORTELL M.D.
Internal Medicine (Nephrology)
1111 AMSTERDAM AVE, MINTURN ROOM 205
NEW YORK, NY 10025
New York County (212) 523-3530
MR. EZEQUIEL JOSUE RODRIGUEZ RPA-C
Physician Assistant
1111 AMSTERDAM AVE, ORTHO DEPT. CLARK 7
NEW YORK, NY 10025
New York County (212) 523-2650
MR. MICHAEL STEPHEN BALLETTA
Nurse Practitioner (Adult Health)
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-5918

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariel Gallego's NPI number?

The NPI number for Mariel Gallego is 1235442229. It was assigned to this individual provider in the NPPES registry on July 19, 2010.

Where is Mariel Gallego located?

Mariel Gallego practices at 1111 Amsterdam Ave Clark 6th Floor, New York, NY 10025. The listed phone number is (212) 523-6500.

What is Mariel Gallego's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mariel Gallego enrolled in Medicare?

Yes. Mariel Gallego is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mariel Gallego affiliated with any hospitals?

According to CMS data, Mariel Gallego is affiliated with Mount Sinai St Luke's Roosevelt Hospital.

When was this NPI record last updated?

The NPPES record for Mariel Gallego was last updated on September 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.