Peace of Mind Brain Injury Services Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

PEACE OF MIND BRAIN INJURY SERVICES INC

Practice address

47 Ferry Rd
Chester, CT 06412-1232

Phone

(860) 575-5489

NPI assigned

Aug 11, 2014

Organization subpart

No

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

Authorized official

Name

Kara Gagnon

Title

Owner/President

Phone

(860) 575-5489

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1134538549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "CHESTER",
            "state": "CT",
            "postal_code": "064120247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 FERRY RD",
            "city": "CHESTER",
            "state": "CT",
            "postal_code": "064121232",
            "telephone_number": "860-575-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND BRAIN INJURY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "860-575-5489"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey McKeon, MS
• MHS Primary Care, Inc
• Deborah Minor
• Russell J Munson, M.D.
• Deirdre Pagan, APRN
• Krista Lynn Rainey, COTA
• Reflections of Chester, Health & Wellness Center, LLC
• Jennifer L Rice, PT
• River Valley Pediatrics and Adolescent Medicine
• Robert Gratton PHD LCSW

• All providers in Chester, CT
• Voluntary or Charitable Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.