Organization Active NPI

Gerard G. Gagne, Jr. MD General Adult Psychiatry

  • Psychiatry Physician
  • Riverside, RI
National Provider Identifier
1740295328
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GERARD G. GAGNE, JR. MD GENERAL ADULT PSYCHIATRY
Practice address
250 Wampanoag TRL
Suite 303
Riverside, RI 02915-2218
Phone
(401) 431-1500
Fax
(401) 438-1605
NPI assigned
Jul 30, 2006
Last updated
Sep 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Dr. Gerard George Gagne, MD
Title
Physician, President
Phone
(401) 431-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

250 Wampanoag TRL
Suite 303
Riverside, RI 02915-2218

Mailing address

250 Wampanoag TRL
Suite 303
Riverside, RI 02915-2218
Phone (401) 431-1500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1740295328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WAMPANOAG TRL",
            "address_2": "SUITE 303",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152218",
            "telephone_number": "401-431-1500",
            "fax_number": "401-438-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WAMPANOAG TRL",
            "address_2": "SUITE 303",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152218",
            "telephone_number": "401-431-1500",
            "fax_number": "401-438-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARD G. GAGNE, JR. MD GENERAL ADULT PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "GAGNE",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PHYSICIAN, PRESIDENT",
        "authorized_official_telephone_number": "401-431-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.