GAGNE BEHAVIORAL HEALTH INC


Address: 1717 Country Club Rd, Middletown, CT 06457-2363
Phone: 8603460252

GAGNE BEHAVIORAL HEALTH INC (NPI# 1437534401) 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) 1437534401
Entity Type Organization
Organization Name GAGNE BEHAVIORAL HEALTH INC
Practice Address 1717 Country Club Rd
Middletown
CT 06457-2363
Practice Telephone 8603460252
Mailing Telephone 8603460252
Enumeration Date 2015-07-20
Last Update Date 2015-07-20
Authorized Official Name KELLI P GAGNE (PRESIDENT)
Authorized Official Telephone 8603460252
Authorized Official Credential APRN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
004815 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1717 COUNTRY CLUB RD
City MIDDLETOWN
State CT
Zip Code 06457-2363

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1699391961 Meghan Harrington Behavior Technician 101 Centerpoint Drive #243, Middletown, CT 06457 2020-06-22
1427619626 Collaborative Aba Services, LLC Behavioral Analyst 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 2019-06-27
1376100339 Kimberly Tynik Pharmacist 451 Fowler Ave, Middletown, CT 06457 2019-05-24
1184101263 Tabrez Adil Dentist 675 Main St., Middletown, CT 06457 2018-07-23
1326535337 Rehan Khan Non-emergency Medical Transport (VAN) 765 Country Club Rd, Middletown, CT 06457 2018-04-16
1366950206 State of Connecticut Psychiatric Hospital 70 O'brien Drive, Middletown, CT 06457 2018-01-12
1902324536 Cynthia Tine Physical Therapy Assistant 628 Congdon Street, Middletown, CT 06457 2017-09-04
1619494390 Nathan Douglas Roy Specialist/Technologist 431 Briarwood Lane, Middletown, CT 06457 2017-08-24
1598286502 Rachel Hoffman Whelen Registered Nurse 420 Saybrook Road, Suite A, Middletown, CT 06457 2017-06-29
1003358326 Rebecca Rotondo Social Worker 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 2016-11-17
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568096790 Northpoint Psychiatric Consultants LLC Nurse Practitioner 363 Main St Ste 412, Middletown, CT 06457-3359 2020-02-26
1083146112 Ildiko Maria Sherman Nurse Practitioner 307 Stanley St, Middletown, OH 45044-4859 2017-03-29
1609284827 Debra Mayers Nurse Practitioner 31 Connors Rd, Middletown, NY 10941-1830 2014-07-31
1649410820 Christopher Mcgirr Nurse Practitioner 120 Rising Trail Dr, Middletown, CT 06457-1671 2009-02-27
1902998263 Sandra J. Rabis Nurse Practitioner 79 Mill St, Suite 101, Middletown, CT 06457-4468 2006-09-28
1992771315 Wendy Levin Peterson Nurse Practitioner 267 William St, Middletown, CT 06457 2006-02-25
1720628910 Kingsley Azeez Ayoola Nurse Practitioner 11 Little Cir, Middletown, DE 19709 2020-01-15
1124674148 Mary Beatrice O'hara Nurse Practitioner 675 Main St, Middletown, CT 06457 2019-08-15
1265086102 Emily Juliana Friedman Nurse Practitioner 1250 Silver St, Middletown, CT 06457-3946 2019-07-29
1740833144 Katelyn Kreke Nurse Practitioner 1036 S Verity Pkwy, Middletown, OH 45044-5513 2019-07-24
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Competitor

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City MIDDLETOWN
Zip Code 06457

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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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