NPIMap

Organization Active NPI

SPG PM2 Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Buckeye, AZ
National Provider Identifier
1669110623
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SPG PM2 SERVICES
Practice address
2587 N Beverly PL
Buckeye, AZ 85396-1793
Phone
(210) 380-2107
NPI assigned
May 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Dr. Shawn Patrick Gallagher, PMHNP-BC, FNP-BCNPI 1710903281
Title
Psychiatric-Mental Health NP/Owner
Phone
(210) 380-2107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2587 N Beverly PL
Buckeye, AZ 85396-1793

Mailing address

2587 N Beverly PL
Buckeye, AZ 85396-1793
Phone (210) 380-2107

Other names 1

  • SPG PM2 Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1669110623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2587 N BEVERLY PL",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853961793",
            "telephone_number": "210-380-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2587 N BEVERLY PL",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853961793",
            "telephone_number": "210-380-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPG PM2 SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PSYCHIATRIC-MENTAL HEALTH NP/OWNER",
        "authorized_official_telephone_number": "210-380-2107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PMHNP-BC, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPG PM2 Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.