TIMOTHY E GANNON


Address: 86 Plantation St., Worcester, MA 01604
Phone: 5084590739

TIMOTHY E GANNON (NPI# 1356676936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356676936
Entity Type Individual
Full Name TIMOTHY E GANNON
Practice Address 86 Plantation St.
Worcester
MA 01604
Mailing Address 86 Plantation St
Worcester
MA 01604-3024
Practice Telephone 5084590739
Mailing Telephone 5084590739
Enumeration Date 2009-10-15
Last Update Date 2009-10-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers TIMOTHY GANNON

NPI Name Taxonomy Address Enumeration
1346705803 Timothy Gannon Physical Medicine & Rehabilitation 380 Demott Ln, Somerset, NJ 08873-2762 2019-02-08
1073993630 Timothy Gannon Pharmacist 4960 William Flynn Hwy, Allison Park, PA 15101-2354 2015-06-08
1952640567 Timothy Gannon Perfusionist 31330 Schoolcraft Rd, Ste 200, Livonia, MI 48150-2041 2013-02-04
1508952847 Timothy Gannon Psychiatry & Neurology 340 S Broadway St, Akron, OH 44308-1529 2006-10-05
1083676852 Timothy Hugh Gannon Specialist 4300 W Main St, Suite 403, Dothan, AL 36305-1054 2006-04-05

Office Location

Street Address 86 PLANTATION ST.
City WORCESTER
State MA
Zip Code 01604

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942839832 Nicole Elizabeth Lewandrowski Student in an Organized Health Care Education/Training Program Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 2020-04-03
1285123034 Sandra Jean Golden Social Worker 240 Belmont Street, Worcester, MA 01604 2018-05-08
1669961348 Cindy Truong Choe Behavior Technician 330 Southwest Cutoff Suite 203, Worcester, MA 01604 2018-05-08
1013412915 Michelle Marie Gaudet Behavioral Analyst 330 Southwest Cutoff, Suite 203, Worcester, MA 01604 2018-03-24
1104336593 Younghwa Kim Counselor 2 Granite Street, Worcester, MA 01604 2017-10-11
1134640857 Desiree Oquendo Developmental Therapist 43 Dillon Street, Worcester, MA 01604 2017-07-03
1457803686 Reliable Home Care Services Foster Care Agency 35a Houghton Strret, Worcester, MA 01604 2016-11-04
1639530876 Emily Capstick Counselor 81 Plantation Steet, Worcester, MA 01604 2016-03-16
1144696519 Christian Caban I Developmental Therapist 25 Orient St, Worcester, MA 01604 2015-08-19
1750770160 Ayanna Ortiz Developmental Therapist 16 Bangor St, Worcester, MA 01604 2015-01-22
Find all providers in zip 01604

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588271274 Simon Hayward Waters Counselor 67 Rockrimmon Rd, Worcester, MA 01602-2231 2020-09-26
1962015735 Oumie Hawa Nyassi Counselor 78 Upsala St Unit 1, Worcester, MA 01610-2060 2020-08-31
1407470883 Eliana Catalina Agudelo Counselor 259 May St, Worcester, MA 01602-3286 2020-06-02
1720625932 Richard Jose Figueroa Counselor 31 Drexel St, Worcester, MA 01602-1238 2019-12-06
1336794577 Bailiner Cruz Counselor 31 Queen St, Worcester, MA 01610-2456 2019-08-05
1437617552 Wellbe To Go, Inc. Counselor 40 Yukon Ave, Worcester, MA 01605-1630 2019-03-07
1881189355 Amber Hall Counselor 26 Queen St, 6th Floor, Worcester, MA 01610 2018-06-27
1962914614 Michelle Montanez Counselor 21 Dewey St, Worcester, MA 01609-2909 2017-11-02
1528579125 Rochelle M Santiago Counselor 9 Cottage St, Worcester, MA 01609-2301 2017-10-23
1104336593 Younghwa Kim Counselor 2 Granite Street, Worcester, MA 01604 2017-10-11
Find all providers in WORCESTER

Competitor

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City WORCESTER
Zip Code 01604

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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