DR. CONNOR LEE GALLIK PHD
NPI 1790394880
Psychologist - Clinical Child & Adolescent in Seattle, WA

Active since July 24, 2020PECOS Enrolled
4800 SAND POINT WAY NE, RA.5.120, SEATTLE, WA 98105(206) 987-3414 Get Directions Write a Review

NPPES record last updated: September 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2022, Jul 6, 2022, Jul 24, 2020 (3 updates tracked since 2020).

About Dr. Connor Lee Gallik Phd NPPES

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

DR. CONNOR LEE GALLIK PHD (NPI 1790394880) is an individual clinical child & adolescent provider in Seattle, Washington, licensed in Washington (PY61271302) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790394880
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameDR. CONNOR LEE GALLIKCredential: PHD
Location Address4800 SAND POINT WAY NE, RA.5.120Seattle, WA 98105
Mailing Address4800 Sand Point Way Ne, Ra.5.120Seattle, WA 98105
Sole ProprietorNo
Enumeration DateJuly 24, 2020
Last NPPES UpdateSeptember 18, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2022
NPI 1790394880 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 WA · PY61271302
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.
4800 SAND POINT WAY NE, Seattle, WA 98105

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Connor Lee Gallik Phd 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.

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.

Anesthesiology
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Speech-Language Pathologist
4800 SAND POINT WAY NE, MAIL STOP W-6839
SEATTLE, WA 98105
Medical Genetics (Clinical Molecular Genetics)
4800 SAND POINT WAY NE, GENETIC MEDICINE
SEATTLE, WA 98105
Pediatrics (Pediatric Critical Care Medicine)
4800 SAND POINT WAY NE, MB.10.620
SEATTLE, WA 98105
Pediatrics (Pediatric Infectious Diseases)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Nurse Practitioner (Pediatrics)
4800 SAND POINT WAY NE, MS O.7.720
SEATTLE, WA 98105
Nurse Practitioner (Family)
4800 SAND POINT WAY NE, MAILSTOP T-2108
SEATTLE, WA 98105
Otolaryngology (Pediatric Otolaryngology)
4800 SAND POINT WAY NE
SEATTLE, WA 98105

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 Connor Gallik's NPI number?

The NPI number for Connor Gallik is 1790394880. It was assigned to this individual provider in the NPPES registry on July 24, 2020.

Where is Connor Gallik located?

Connor Gallik practices at 4800 Sand Point Way NE Ra.5.120, Seattle, WA 98105. The listed phone number is (206) 987-3414.

What is Connor Gallik's specialty?

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

Is Connor Gallik enrolled in Medicare?

Yes. Connor Gallik is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connor Gallik was last updated on September 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.