Individual provider Active NPI

Jean Gauvin, M.D.

  • Psychiatry Physician
  • Walnut Creek, CA
National Provider Identifier
1689801912
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C171018 Issued in CA
Practice address
3100 Oak Rd Ste 270
Walnut Creek, CA 94597-2078
Phone
(925) 944-9711
NPI assigned
Jun 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 57310 CT
Psychiatry Physician 2084P0800X C171018 CA Primary

Addresses

Primary practice location

3100 Oak Rd Ste 270
Walnut Creek, CA 94597-2078

Mailing address

19 Bradhurst Ave Ste 3100N
Hawthorne, NY 10532-2140

Other practice location 1

100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 909-9018

Other practice location 2

64 Robbins St
Waterbury, CT 06708-2613
Phone (203) 573-6232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, PA, NY, CA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180423000432 CT Practitioner - Psychiatry 6002066909 Reassigns benefits to 7 organizations
I20200915000303 PA Practitioner - Psychiatry 6002066909 Reassigns benefits to 1 organization
I20201201003136 NY Practitioner - Psychiatry 6002066909 Reassigns benefits to 3 organizations
I20210119001190 CA Practitioner - Psychiatry 6002066909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Pittsburgh School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Psychiatric Services a Medical GroupGroup PAC ID 0244329969, 74 clinicians
Cyril Waynik MD PCGroup PAC ID 8921198193, 9 clinicians

Practice addresses (Care Compare)

100 Woods Rd
Valhalla, NY 10595-1530

3100 Oak Rd
Suite 270
Walnut Creek, CA 94597-2078
Phone (925) 944-9711

52 Beach Rd
Suite 104
Fairfield, CT 06824-6017
Phone (203) 254-2000

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C171018CAMDPsychiatry Physician
57310CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health, Inc. Psychiatry CurrentSince Sep 30, 2019 Accepting new patients
William W Backus Hospital CurrentSince May 1, 2018 Accepting new patients
Traditions Psychiatry Group, P.C Psychiatry CurrentSince Apr 1, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Mar 29, 2021 Accepting new patients
Tower Health Medical Group Current Accepting new patients
The William W Backus Hospital Current Accepting new patients
Todd Mekles MD PC Psychiatry CurrentSince Sep 14, 2025 Accepting new patients
Natchaug Hospital, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Albany Medical College CurrentSince Oct 1, 2020 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Psychiatry CurrentSince Apr 12, 2022 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Current Accepting new patients
Long Island Community Hospital at NYU Langone Health CurrentSince Apr 12, 2022 Accepting new patients
Albany Medical College Psychiatry CurrentSince Oct 1, 2020 Accepting new patients
Step Up Care PC LLC CurrentSince Apr 10, 2020 Accepting new patients
Tower Health Medical Group CurrentSince Aug 1, 2020 Accepting new patients
Cyril Waynik MD PC Psychiatry CurrentSince Aug 9, 2025 Accepting new patients
Comprehensive Psychiatric Services, a Medical Group Psychiatry CurrentSince Dec 1, 2020 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Current Accepting new patients
Prospect Manchester Hospital, Inc. Current Accepting new patients
Tower Health Medical Group CurrentSince Aug 1, 2020 Accepting new patients
Albany Medical College CurrentSince Oct 1, 2020 Accepting new patients
Eastern Connecticut Medical Professionals Foundation, Inc Past Accepting new patients
Westchester County Health Care Corporation Past Accepting new patients
Westchester County Health Care Corporation Past Accepting new patients
Westchester County Health Care Corporation Past Accepting new patients

Locations

1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031

3100 Oak Rd
Ste 270
Walnut Creek, CA 94597
Phone (925) 944-9711

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

52 Beach Rd
Ste 104
Fairfield, CT 06824
Phone (203) 254-2000

25 Lorraine St
Hartford, CT 06105
Phone (860) 233-8241

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

47 Long Lots Rd
Westport, CT 06880
Phone (203) 221-8801

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

353 Lexington Ave
Rm 800
New York, NY 10016
Phone (917) 391-0076

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jean.gauvin.1@18773.direct.athenahealth.com

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1689801912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE STE 3100N",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OAK RD STE 270",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972078",
            "telephone_number": "925-944-9711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Woods Rd",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951530",
            "country_code": "US",
            "telephone_number": "914-909-9018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64 Robbins St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067082613",
            "country_code": "US",
            "telephone_number": "203-573-6232",
            "fax_number": "203-573-6030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUVIN",
        "first_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "57310",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C171018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.