Patrick Lynn Gagnon, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

000894 Issued in CT

Practice address

80 E Broadway Apt D
Milford, CT 06460-6120

Phone

(203) 815-0691

Fax

(203) 815-0691

NPI assigned

Mar 16, 2007

Last updated

Feb 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Patrick Lynn Gagnon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Geriatric and Adult Psychiatry, LLC

  dba APRN Group

  • Mental Health Counselor
  • Hamden, CT
  • NPI 1942470018
  NPD (past) Authorized official
• Geriatric and Adult Psychiatry, LLC

  • Mental Health Counselor
  • Hamden, CT
  • NPI 1770791493
  NPD
• Cycare LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Bloomfield, CT
  • NPI 1336150002
  NPD (past)
• Masonicare Behavioral Health, LLC

  • Geriatric Psychiatry Physician
  • Wallingford, CT
  • NPI 1992781488
  NPD (past)
• Masonicare Primary Care Physicians

  • Geriatric Medicine (Internal Medicine) Physician
  • Wallingford, CT
  • NPI 1922084540
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1083748214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144977",
            "telephone_number": "203-815-0691",
            "fax_number": "203-873-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E BROADWAY APT D",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064606120",
            "telephone_number": "203-815-0691",
            "fax_number": "203-815-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNON",
        "first_name": "PATRICK",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "000894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004174843",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICK",
            "last_name": "GAGNON",
            "middle_name": "LYNN",
            "credential": "APRN CNS,BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Frugalmed LLC
• Jan Peter Fugal, MD
• Rebecca Fugal, LCSW, LADC
• Nervana Gaballa, ND
• Chelsea Gaglio, M.S., CCC-SLP
• Hollie Edwina Galeano, MS, CCC-SLP
• Maureen Gallagher, LCSW
• Kelly Ann Gammage, P.T.
• Charles Boatner Gamsu
• Murugesapillai Ganesan, MD

• Psychiatric/Mental Health Nurse Practitioner in Milford, CT
• Providers in Milford, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.