MR. RAYMOND GUNN (NPI# 1932618568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932618568 |
| Entity Type | Individual |
| Full Name | MR. RAYMOND GUNN |
| Credential | APRN |
| Practice Address |
141 E Main St Waterbury CT 06702-2310 |
| Practice Telephone | 2035749000 |
| Practice Fax Number | 2035749006 |
| Mailing Telephone | 2035749000 |
| Mailing Fax Number | 2035749006 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2018-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
7755 | CT | Allopathic & Osteopathic Physicians |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
7755 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 203 High St, Milford, CT 064603250 | 2038746270 | |
| 45 Wadsworth St, Hartford, CT 061067108 | 8605271124 | |
| 501 Lombard St, New Haven, CT 065132910 | 8607872207 |
| Street Address |
141 E MAIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06702-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476548 | Mara Silva | Counselor | 141 E Main St, Waterbury, CT 06702-2310 | 2020-10-29 |
| 1861090979 | Kenndra Espinoza | Student in an Organized Health Care Education/Training Program | 141 E Main St, Waterbury, CT 06702-2310 | 2020-10-12 |
| 1972118511 | Melissa Walder | Counselor | 141 E Main St, Waterbury, CT 06702-2310 | 2020-09-10 |
| 1083228944 | Miranda Curnane | Counselor | 141 E Main St, Waterbury, CT 06702-2310 | 2020-09-08 |
| 1154935005 | Victoria Lyons | Community Health Worker | 141 E Main St, Waterbury, CT 06702-2310 | 2020-09-08 |
| 1700490901 | Billie-jo Sauvron | Student in an Organized Health Care Education/Training Program | 141 E Main St, Waterbury, CT 06702-2310 | 2020-09-04 |
| 1932713161 | Katherine Cichon | Student in an Organized Health Care Education/Training Program | 141 E Main St, Waterbury, CT 06702-2310 | 2020-09-04 |
| 1497367544 | Mackenna Jacovich | Student in an Organized Health Care Education/Training Program | 141 E Main St, Waterbury, CT 06702-2310 | 2020-08-20 |
| 1689285074 | Kimberly Porras | Community Health Worker | 141 E Main St, Waterbury, CT 06702-2310 | 2020-08-11 |
| 1013528405 | Elaine Mero | Community Health Worker | 141 E Main St, Waterbury, CT 06702-2310 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780120295 | Melitza Velez | Counselor | 80 Prospect St., Waterbury, CT 06702 | 2017-01-09 |
| 1467813600 | Ashley Joseph | Counselor | 30 Holmes Ave, Waterbury, CT 06702 | 2016-03-16 |
| 1649662313 | Lori Arens | Social Worker | 141 E Main St Fl 4, Waterbury, CT 06702 | 2015-03-04 |
| 1265725584 | Zelda Shleifer | Audiologist | 21 W Main St Fl Place-3, Waterbury, CT 06702 | 2011-05-19 |
| 1700024585 | Charlene Angela Jurgaitis | Durable Medical Equipment & Medical Supplies | 102 Grand Street, Waterbury, CT 06702 | 2009-02-02 |
| 1518090570 | Nathan Z Imre | Pharmacist | 161 East Main St Central Pharmacy, Waterbury, CT 06702 | 2007-03-13 |
| 1922149467 | Rachael A Petitti | Social Worker | 402 East Main Street, Waterbury, CT 06702 | 2007-02-09 |
| 1710024484 | Abbot Terrace Health Center | Assisted Living Facility | 44 Abbott Terrace, Waterbury, CT 06702 | 2007-01-31 |
| 1205994555 | Michael Arcangel Padilla | Social Worker | Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 | 2006-12-05 |
| 1205902723 | Colette M Anderson | Social Worker | 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2006-11-27 |
| Find all providers in zip 06702 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467072033 | Sarah Michelle Whalen | Nurse Practitioner | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2020-04-23 |
| 1720616246 | Susan Antoinette Pappas | Nurse Practitioner | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2020-03-30 |
| 1578022166 | Daedly Potusek | Nurse Practitioner | 80 Phoenix Ave, Waterbury, CT 06702-1418 | 2019-03-14 |
| 1124592274 | Deon Johnson-allen | Nurse Practitioner | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2019-01-11 |
| 1356818421 | Olanike Oyeyemi Idowu | Nurse Practitioner | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-10-26 |
| 1104344506 | Kimberly Burns | Nurse Practitioner | 30 Holmes Ave, Waterbury, CT 06710-2412 | 2017-09-06 |
| 1114462561 | Shantelle Brokaw | Nurse Practitioner | 128 Cedar Ave, Waterbury, CT 06705-2700 | 2016-12-21 |
| 1407201957 | Alexandria Smith | Nurse Practitioner | 30 Holmes Ave, Waterbury, CT 06710-2412 | 2016-05-03 |
| 1134504715 | Nicholas James O'brien | Nurse Practitioner | 60 N Main St, 3rd Floor, Waterbury, CT 06702-1443 | 2015-07-24 |
| 1225461221 | Alyson Nicolosi | Nurse Practitioner | 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418 | 2013-08-13 |
| Find all providers in WATERBURY | ||||
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| 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.