NPI 1225065394 · live from the CMS NPI Registry
John N Gaitanis, MD
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Providence, RI. National Provider Identifier 1225065394, active.
NPI record
| NPI | 1225065394 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X |
| Practice location | 593 Eddy St, George Building, Providence, RI 02903 |
| Practice phone | 401-444-4000 |
| Mailing address | 1 Hoppin St, Suite 318, Providence, RI 02903 |
| Enumerated | June 26, 2006 |
| Last updated | August 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 2084N0402X | 213712 (MA) |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary | 2084N0402X | MD11298 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.