DR. JENNIFER LESLIE GALLUP PH.D.
NPI 1609648807
Psychologist in Pocatello, ID

Active since October 23, 2023
427 N 4TH AVE, POCATELLO, ID 83201(208) 274-5925 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2025, Mar 5, 2025, Oct 23, 2023 (3 updates tracked since 2023).

About Dr. Jennifer Leslie Gallup Ph.d. NPPES

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

DR. JENNIFER LESLIE GALLUP PH.D. (NPI 1609648807) is an individual psychologist in Pocatello, Idaho, licensed in Idaho (203485) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1609648807
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JENNIFER LESLIE GALLUPCredential: PH.D.
Location Address427 N 4TH AVEPocatello, ID 83201-6341
Mailing Address427 N 4th AvePocatello, ID 83201-6341 · (208) 406-2492
Sole ProprietorYes
Enumeration DateOctober 23, 2023
Last NPPES UpdateApril 1, 20253 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
NPI 1609648807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in ID · 203485
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.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
427 N 4TH AVE, Pocatello, ID 83201

Other Providers at the Same Location NPPES 4

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

Speech-Language Pathologist
427 N 4TH AVE
POCATELLO, ID 83201
Counselor (Mental Health)
427 N 4TH AVE
POCATELLO, ID 83201
Counselor (Mental Health)
427 N 4TH AVE
POCATELLO, ID 83201
Occupational Therapist
427 N 4TH AVE
POCATELLO, ID 83201

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 Jennifer Gallup's NPI number?

The NPI number for Jennifer Gallup is 1609648807. It was assigned to this individual provider in the NPPES registry on October 23, 2023.

Where is Jennifer Gallup located?

Jennifer Gallup practices at 427 N 4th Ave, Pocatello, ID 83201. The listed phone number is (208) 274-5925.

What is Jennifer Gallup's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Gallup was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.