Psychiatric Edge LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PSYCHIATRIC EDGE LLC

Practice address

851 Duportail Rd FL 2
Chesterbrook, PA 19087-5575

Phone

(856) 699-1719

Fax

(856) 249-9109

NPI assigned

Feb 7, 2024

Last updated

Nov 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Richard Gagnon Jr., CRNP,PMHNP-BC, MSNNPI 1558904813

Title

Owner

Phone

(856) 699-1719

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Richard Gagnon Jr., CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesterbrook, PA
  • NPI 1558904813
  NPD Authorized official

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1659135986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 DUPORTAIL RD FL 2",
            "city": "CHESTERBROOK",
            "state": "PA",
            "postal_code": "190875575",
            "telephone_number": "856-699-1719",
            "fax_number": "856-249-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 DUPORTAIL RD FL 2",
            "city": "CHESTERBROOK",
            "state": "PA",
            "postal_code": "190875575",
            "telephone_number": "856-699-1719",
            "fax_number": "856-249-9109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 Duportail Rd",
            "address_2": "2nd FL",
            "address_purpose": "LOCATION",
            "city": "Chesterbrook",
            "state": "PA",
            "postal_code": "19087",
            "country_code": "US",
            "telephone_number": "856-699-1719",
            "fax_number": "856-249-9109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSYCHIATRIC EDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-699-1719",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CRNP,PMHNP-BC, MSN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Chesterbrook, PA
• Providers in Chesterbrook, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.