Healthcare Provider Details

I. General information

NPI: 1932698180
Provider Name (Legal Business Name): KYLE AUSTIN GALATI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2018
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 DEVONSHIRE ST STE 902
BOSTON MA
02110-1413
US

IV. Provider business mailing address

185 DEVONSHIRE ST STE 902
BOSTON MA
02110-1413
US

V. Phone/Fax

Practice location:
  • Phone: 617-297-7058
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME18084
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2025011861
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberLL51927
License Number StateSC
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number1023312
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: