Organization Active NPI

Partners in Healing

  • Psychiatric/Mental Health Registered Nurse
  • Hamburg, NY
National Provider Identifier
1578827754
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
268088 Issued in NY
Legal business name
PARTNERS IN HEALING
Practice address
229 Main St
Upper Level
Hamburg, NY 14075-4915
Phone
(716) 548-6190
NPI assigned
Jul 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Authorized official

Name
Jill Gavin Gannon, RN,BC, BHSP
Title
Founder
Phone
(716) 548-6190

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X 268088 NY Primary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X 268088 NY

Addresses

Primary practice location

229 Main St
Upper Level
Hamburg, NY 14075-4915

Mailing address

159 Pleasant Ave
Hamburg, NY 14075-4827
Phone (716) 548-6190

National Provider Directory

National Provider Directory

Locations

229 Main St
Uppr
Hamburg, NY 14075
Phone (716) 548-6190

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1578827754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 PLEASANT AVE",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754827",
            "telephone_number": "716-548-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 MAIN ST",
            "address_2": "UPPER LEVEL",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754915",
            "telephone_number": "716-548-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "GANNON",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "GAVIN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "716-548-6190",
        "authorized_official_credential": "RN,BC, BHSP"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "268088",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": "NY",
            "license": "268088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.