MICHELLE GALLAGHER PH.D.
NPI 1265099022
Psychologist - Clinical Child & Adolescent in Syracuse, NY

Q: What is Michelle Gallagher's NPI number?

The NPI number for Michelle Gallagher is 1265099022. It was assigned to this individual provider in the NPPES registry on May 28, 2019. The provider is also known as Shelley Gallagher Ph.D..

Q: What is Michelle Gallagher's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Active since May 28, 2019PECOS Enrolled

UPSTATE MEDICAL UNIVERSITY, 750 E. ADAMS ST., SYRACUSE, NY 13210(315) 464-3446 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Michelle Gallagher Ph.d. NPPES

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

MICHELLE GALLAGHER PH.D. (NPI 1265099022) is an individual clinical child & adolescent provider in Syracuse, New York, licensed in New York (013537-01) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265099022

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameMICHELLE GALLAGHERCredential: PH.D.

Location AddressUPSTATE MEDICAL UNIVERSITY, 750 E. ADAMS ST.Syracuse, NY 13210

Mailing Address429 Roosevelt Ave Apt 3Syracuse, NY 13210-3144 · (917) 685-2284

Phone(315) 464-3446

Sole ProprietorNo

Enumeration DateMay 28, 2019

Last NPPES UpdateNovember 27, 2023

✔ NPI 1265099022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in NY · 013537-01

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

UPSTATE MEDICAL UNIVERSITY, Syracuse, NY 13210

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Other Names 1

Other Name (5)Shelley Gallagher Ph.d.

Other Identifiers 1

Other013537-01NY · Limited Permit To Practice Psychology In New York State

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Gallagher Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Gallagher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry Faculty Practice, Inc.

1.2 mi

Psychiatry

713 HARRISON ST
Syracuse, NY 13210

Reassigned Medicare billing, New York enrollment
171 clinicians in this Medicare group

NPI 1881084820 (315) 464-3119

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Michelle Gallagher's NPI number?

The NPI number for Michelle Gallagher is 1265099022. It was assigned to this individual provider in the NPPES registry on May 28, 2019. The provider is also known as Shelley Gallagher Ph.D..

Where is Michelle Gallagher located?

Michelle Gallagher practices at Upstate Medical University 750 E. Adams St., Syracuse, NY 13210. The listed phone number is (315) 464-3446.

What is Michelle Gallagher's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Michelle Gallagher enrolled in Medicare?

Yes. Michelle Gallagher is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michelle Gallagher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Gallagher reassigns Medicare benefits to Psychiatry Faculty Practice, Inc. (Syracuse, NY). The 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 Michelle Gallagher'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 Michelle Gallagher was last updated on November 27, 2023. 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.