Patrick Gagnon LLC

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

000894 Issued in CT

Legal business name

PATRICK GAGNON LLC

Practice address

3017 Main St
Stratford, CT 06614-4977

Phone

(475) 225-0537

Fax

(203) 439-2087

NPI assigned

Apr 4, 2016

Organization subpart

No

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

Authorized official

Name

Patrick Gagnon, APRN

Title

Owner

Phone

(475) 225-0537

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1740643071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144977",
            "telephone_number": "475-225-0537",
            "fax_number": "203-439-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144977",
            "telephone_number": "475-225-0537",
            "fax_number": "203-439-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK GAGNON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "475-225-0537",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CT",
            "license": "000894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Registered Nurse in Stratford, CT
• Providers in Stratford, CT by specialty
• Psychiatric/Mental Health Registered Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.