DR. SHIVAUN GANNON MD
NPI 1619328267
Psychiatry & Neurology - Psychiatry in Brockton, MA

Q: What is Shivaun Gannon's NPI number?

The NPI number for Shivaun Gannon is 1619328267. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Q: What is Shivaun Gannon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Shivaun Gannon was last updated on July 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 24, 2016PECOS Enrolled

940 BELMONT ST, BROCKTON, MA 02301(774) 826-2458 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2021, Jul 19, 2019, Jun 24, 2016 (3 updates tracked since 2016).

On this page

About Dr. Shivaun Gannon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHIVAUN GANNON MD (NPI 1619328267) is an individual psychiatry provider in Brockton, Massachusetts, licensed in Massachusetts (267376) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619328267

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. SHIVAUN GANNONCredential: MD

Location Address940 BELMONT STBrockton, MA 02301-5596

Mailing Address940 Belmont StBrockton, MA 02301-5596 · (774) 826-2458

Phone(774) 826-2458

Sole ProprietorYes

Enumeration DateJune 24, 2016

Last NPPES UpdateJuly 9, 20213 updates tracked since enumeration

NPPES CertifiedJuly 9, 2021

✔ NPI 1619328267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in MA · 267376✔ Licensed in WA · MD60945827

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

940 BELMONT ST, Brockton, MA 02301

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shivaun Gannon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$177.36 typical visit price

range $58.86 – $177.36

Typical copayment $44.34 (range $14.71 – $44.34)

Most-billed visit code 99205

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty