JARRED GALLEGOS PHD
NPI 1235543786
Psychologist - Clinical in Albuquerque, NM
About Jarred Gallegos Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JARRED GALLEGOS PHD (NPI 1235543786) is an individual clinical provider in Albuquerque, New Mexico, licensed in New Mexico (PSY-2023-0102) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jarred Gallegos Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jarred Gallegos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albuquerque, NM 87109
- Reassigned Medicare billing, New Mexico enrollment
- 2,331 clinicians in this Medicare group
Mesa, AZ 85206
- Reassigned Medicare billing, Arizona enrollment
- Medicare enrollment name: Phoenix Children's Hospital
- 1,416 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87109
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 Jarred Gallegos's NPI number?
The NPI number for Jarred Gallegos is 1235543786. It was assigned to this individual provider in the NPPES registry on June 12, 2014.
Where is Jarred Gallegos located?
Jarred Gallegos practices at 6100 Pan American East Fwy NE Ste 360, Albuquerque, NM 87109. The listed phone number is (505) 823-8686.
What is Jarred Gallegos's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Jarred Gallegos enrolled in Medicare?
Yes. Jarred Gallegos is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jarred Gallegos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jarred Gallegos reassigns Medicare benefits to 2 organizations: Presbyterian Healthcare Services (Albuquerque, NM) and Phoenix Children's Medical Group (Mesa, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jarred Gallegos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jarred Gallegos was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jarred Gallegos, PHD · NPI 1235543786
Clinical provider in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since June 12, 2014.
## Identity
- **NPI:** 1235543786 (Entity type: Individual)
- **Enumerated:** June 12, 2014
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY-2023-0102 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6100 PAN AMERICAN EAST FWY NE STE 360, Albuquerque, NM 87109-3460
- **Phone:** (505) 823-8686
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Presbyterian Healthcare Services (NPI 1104802354, Albuquerque, NM); Phoenix Children's Medical Group (NPI 1487814240, Mesa, AZ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1235543786) · Data from the CMS NPPES public registry.