Jarred Gallegos, PHD
NPI 1235543786ActiveIndividual· Psychologist, Clinical· Albuquerque, NM
Psychologist, Clinical (PHD) in Albuquerque, New Mexico, licensed in NM and AZ, with an NPI issued in June 2014. Enrolled in Medicare as practitioner - clinical psychologist and practitioner - clinical psychologist.
Overview
| NPI | 1235543786 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | Jun 12, 2014 |
| Last updated in NPPES | Apr 23, 2024 |
| Certified by provider | Apr 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY-2023-0102 | NM |
| Psychologist | 103T00000X | PSY-005395 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (AZ); Practitioner - Clinical Psychologist (NM) |
|---|
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