Healthcare Provider Details

I. General information

NPI: 1164642310
Provider Name (Legal Business Name): JANINA R. GALLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1685 BEACON STREET
BROOKLINE MA
02445
US

IV. Provider business mailing address

1685 BEACON STREET
BROOKLINE MA
02445
US

V. Phone/Fax

Practice location:
  • Phone: 617-232-5888
  • Fax:
Mailing address:
  • Phone: 617-232-5888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number78737
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number78737
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: