Charlene Yvonne Gagne, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

002971 Issued in CT

Practice address

15 Research Dr
Unit 1
Woodbridge, CT 06525-2348

Phone

(203) 387-1401

Fax

(203) 387-1415

NPI assigned

Mar 18, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Baron Therapy Services, LLC

  • Speech-Language Pathologist
  • Woodbridge, CT
  • NPI 1982816526
  NPD (past)

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1750522835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3568",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065250141",
            "telephone_number": "203-387-1401",
            "fax_number": "203-387-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RESEARCH DR",
            "address_2": "UNIT 1",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252348",
            "telephone_number": "203-387-1401",
            "fax_number": "203-387-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNE",
        "first_name": "CHARLENE",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CT",
            "license": "002971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia-Santi Ferrante Fernandes, LPC, MCHES, NCC
• Stacey L Fitton, MS, CCC/SLP
• Five Sisters Laughing LLC
• Susan Forman, LCSW
• Jennifer Camille Frazier, LMSW
• Jonathan Richard Garfinkle, PH.D.
• Gastroenterology Center of New England LLC
• Cheryl Shea Gelernter, PH.D.
• Peter J Geloso, DPT
• Gent Daniels, LCSW

• Pediatric Occupational Therapist in Woodbridge, CT
• Providers in Woodbridge, CT by specialty
• Pediatric Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.