Janine Gundel, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

JANINE GUNDEL, LLC

Practice address

188 Settlers Hill Rd
Southbury, CT 06488-1850

Phone

(415) 717-7009

Fax

(506) 934-4210

NPI assigned

Nov 9, 2020

Organization subpart

No

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

Authorized official

Name

Janine Gundel, NPNPI 1790070464

Title

Owner

Phone

(415) 717-7009

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janine Alane Gundel, APRN, AOCNS

  • Clinical Nurse Specialist
  • Edmonds, WA
  • NPI 1790070464
  NPD Authorized official

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1164024899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 NW 46TH ST STE 105",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074622",
            "telephone_number": "415-717-7009",
            "fax_number": "506-934-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 SETTLERS HILL RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881850",
            "telephone_number": "415-717-7009",
            "fax_number": "506-934-4210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3443 21st Ave W",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981992304",
            "country_code": "US",
            "telephone_number": "415-717-7009",
            "fax_number": "506-934-4210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JANINE GUNDEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "GUNDEL",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-717-7009",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katie Jefferson, MA, LPC
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• All providers in Southbury, CT
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.