Active NPI
Gina M Canen, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Beacon, NY
National Provider Identifier
1801064282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F406391-01
- Practice address
- 41 Verplanck Ave
Beacon, NY 12508-1844 - Phone
- (908) 798-0326
- NPI assigned
- Feb 19, 2008
- Last updated
- Mar 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F406391-01 | NY | Primary |
Addresses
Primary practice location
41 Verplanck Ave
Beacon, NY 12508-1844
Mailing address
41 Verplanck Ave
Beacon, NY 12508-1844
Phone (718) 828-2666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250116003528 | NY | Order and Referring Only - Nurse Practitioner | 2163950221 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F406391-01 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741478400000",
"number": "1801064282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 VERPLANCK AVE",
"city": "BEACON",
"state": "NY",
"postal_code": "125081844",
"telephone_number": "718-828-2666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 VERPLANCK AVE",
"city": "BEACON",
"state": "NY",
"postal_code": "125081844",
"telephone_number": "908-798-0326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANEN",
"first_name": "GINA",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-19",
"last_updated": "2025-03-09",
"certification_date": "2025-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F406391-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beacon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.