Active NPI
Gerard G. Gagne, Jr. MD General Adult Psychiatry
- Psychiatry Physician
- Riverside, RI
National Provider Identifier
1740295328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.