Jody A. Gallaway, PSY.D.
NPI 1689625485ActiveIndividual· Psychologist, Clinical· Sheboygan, WI
Psychologist, Clinical (PSY.D.) with County of Sheboygan, practicing in Sheboygan, Wisconsin. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1689625485 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | No |
| NPI issued | May 15, 2006 |
| Last updated in NPPES | Dec 14, 2020 |
| Certified by provider | Dec 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 2319-057 | WI |
| Psychologist | 103T00000X | — | — |
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 (WI) |
|---|
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- County of SheboyganSheboygan, WI · 6 clinicians
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