Stephanie Elizabeth Gagnon, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

580 E Carmel Dr Ste 320
Carmel, IN 46032-3317

Phone

(317) 564-8332

NPI assigned

Aug 3, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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

• Mindful and Modern Methods for ABA, Inc

  • Behavior Analyst
  • Indianapolis, IN
  • NPI 1447818091
  NPD (past)
• Desert Valley Pediatric Therapy

  • Specialist
  • Phoenix, AZ
  • NPI 1528209830
  NPD (past)

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1528224136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 W HIGH GROVE CIR",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460772209",
            "telephone_number": "508-631-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 E CARMEL DR STE 320",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323317",
            "telephone_number": "317-564-8332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7507 Michigan Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462682321",
            "country_code": "US",
            "telephone_number": "317-827-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAGNON",
        "first_name": "STEPHANIE",
        "middle_name": "ELIZABETH",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-03",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22007539A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Function Rehabilitation Inc
• Functional Medicine of Carmel Inc.
• Robert D. Funk, MD
• Ryan R Gady, O.D.
• Antonio Gaeta Jr.
• Wendy Jo Gahimer, M.A. CCC-SLP
• Elizabeth Gale
• Ashley Gallaway
• Tina L Galle, OT
• Lauren Gallo, BCBA

• Speech-Language Pathologist in Carmel, IN
• Providers in Carmel, IN by specialty
• Speech-Language Pathologist in Indiana

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