DR. KAITLIN P GALLO PH.D.
NPI 1780068254
Psychologist - Cognitive & Behavioral in Cambridge, MA

Q: What is Kaitlin Gallo's NPI number?

The NPI number for Kaitlin Gallo is 1780068254. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Q: What is Kaitlin Gallo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Q: Is Kaitlin Gallo enrolled in Medicare?

No. Kaitlin Gallo has opted out of Medicare through March 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Gallo was last updated on January 23, 2017. 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.

Active since July 15, 2015Opted out of Medicare · through Mar 23, 2027

799 CONCORD AVE, CAMBRIDGE, MA 02138(617) 674-5337 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kaitlin P Gallo Ph.d. NPPES

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

DR. KAITLIN P GALLO PH.D. (NPI 1780068254) is an individual cognitive & behavioral provider in Cambridge, Massachusetts, licensed in Massachusetts (10120) and active in the NPI registry since July 2015. She has opted out of Medicare through March 23, 2027.

NPPES Registry Identity

NPI1780068254

Entity TypeIndividualFemale

Primary Taxonomy103TB0200X

Provider Legal NameDR. KAITLIN P GALLOCredential: PH.D.

Location Address799 CONCORD AVECambridge, MA 02138-1048

Mailing Address799 Concord AveCambridge, MA 02138-1048

Phone(617) 674-5337

Sole ProprietorNo

Enumeration DateJuly 15, 2015

Last NPPES UpdateJanuary 23, 2017

✔ NPI 1780068254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

Licenses✔ Licensed in MA · 10120✔ Licensed in NY · 020847

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

799 CONCORD AVE, Cambridge, MA 02138

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kaitlin P Gallo Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 23, 2017 through March 23, 2027.

Opt-Out Effective DateMarch 23, 2017

Opt-Out In Effect ThroughMarch 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

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