Active NPI
Peter Gerard Gasparo, M.D.
- Psychiatry Physician
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G71424
- Practice address
- 7707 Austin Rd
Stockton, CA 95215-8312 - Phone
- (203) 952-2773
- NPI assigned
- Jun 24, 2008
- Last updated
- Dec 24, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 180840-1 | NY | |
| Psychiatry Physician | 2084P0800X | MD-19542-0 | HI | |
| Psychiatry Physician | 2084P0800X | 041726 | CT | |
| Psychiatry Physician | 2084P0800X | C1-0023937 | DE | |
| Psychiatry Physician | 2084P0800X | ME119950 | FL | |
| Psychiatry Physician | 2084P0800X | G71424 | CA | Primary |
Addresses
Primary practice location
7707 Austin Rd
Stockton, CA 95215-8312
Mailing address
PO Box 909
Ridgefield, CT 06877-8909
Phone (203) 952-2773
Other practice location 1
78 Triangle St
Danbury, CT 06810-6977
Phone (619) 925-5257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G71424 | CA | MD | Psychiatry Physician |
| 041726 | CT | MD | Psychiatry Physician |
| C1-0023937 | DE | MD | Psychiatry Physician |
| ME119950 | FL | MD | Psychiatry Physician |
| MD-19542-0 | HI | MD | Psychiatry Physician |
| 180840-1 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Connecticut | Current | Accepting new patients | |
| State of Connecticut | Current | Accepting new patients |
Locations
450 Columbus Blvd
Ste 1001
Hartford, CT 06103
401 W Thames St
Bldg 301
Norwich, CT 06360
Phone (860) 859-4500
249 Winsted Rd
Fl 3
Torrington, CT 06790
Phone (860) 496-3700
55 W Main St
Ste 410
Waterbury, CT 06702
Phone (203) 805-6408
Interoperability endpoints
- peterg.gasparo@xdr.hhchealthdirect.org
- pgasparo@direct.health-quest.org
Organizations & group practices 3
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.
-
dba Western Connecticut Mental Health Network
- Adult Mental Health Clinic/Center
- Waterbury, CT
- NPI 1841225489
-
- Psychiatric Hospital
- Mansfield Center, CT
- NPI 1295811321
-
dba Department of Veterans' Affairs, Veterans Home
- Skilled Nursing Facility
- Rocky Hill, CT
- NPI 1205951662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734998400000",
"number": "1114188869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 909",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068778909",
"telephone_number": "203-952-2773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7707 AUSTIN RD",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952158312",
"telephone_number": "203-952-2773"
}
],
"practiceLocations": [
{
"address_1": "78 Triangle St",
"address_purpose": "LOCATION",
"city": "Danbury",
"state": "CT",
"postal_code": "068106977",
"country_code": "US",
"telephone_number": "619-925-5257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GASPARO",
"first_name": "PETER",
"middle_name": "GERARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-24",
"last_updated": "2024-12-24",
"certification_date": "2024-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "180840-1",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "MD-19542-0",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "041726",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DE",
"license": "C1-0023937",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME119950",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G71424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.