Active NPIIndividual provider

Carolyn S Gaeckle, PMHNP

Nurse Practitioner, Psych/Mental Health in Northfield, Vermont

NPI Number1962266387
Practice location
454 Freeman RD, Northfield, VT 05663-6230
Fax
—
Last updated
February 12, 2024

Carolyn Simmons Gaeckle is a Nurse Practitioner, Psych/Mental Health based in Northfield, VT. Carolyn Simmons Gaeckle practices in Northfield, VT and has the professional credentials of PMHNP. The NPI Number for Carolyn Simmons Gaeckle is 1962266387 and holds a License No. 101.0136910 (VT). The current practice location address for Carolyn Simmons Gaeckle is 454 Freeman RD, Northfield, VT 05663-6230 and can be reached out via phone at 302-332-6021.

Provider Profile Details

NPI Number
1962266387
Provider Name
Carolyn Simmons Gaeckle
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
454 Freeman RD, Northfield, VT 05663-6230
Phone Number
302-332-6021
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
February 7, 2024
Last Update Date
February 12, 2024
Certification Date
February 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
454 Freeman RD
Northfield, VT 05663-6230
State
Vermont
Zip
05663-6230
Phone Number
302-332-6021
Northfield, VT 05663Get directions →

Provider Business Mailing Address Details

Address
Po Box 344
Waterbury Center, VT 05677-0344
City
Waterbury Center
State
VT
Zip
05677-0344
Phone Number
302-332-6021

License Information

License Number
101.0136910
License State
VT
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carolyn S Gaeckle, PMHNP?

The NPI number of Carolyn S Gaeckle, PMHNP is 1962266387. It was assigned on February 7, 2024 and is currently active in the NPPES registry.

What is the specialty of Carolyn S Gaeckle, PMHNP?

Carolyn S Gaeckle, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in VT under license number 101.0136910.

Where does Carolyn S Gaeckle, PMHNP practice?

The practice location is 454 Freeman RD, Northfield, VT 05663-6230. The office can be reached at 302-332-6021 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962266387 directly on the NPPES registry website.

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