IndividualActive
Timothy Gannon
NPI 1356676936 · Counselor · Worcester, MA
Timothy Gannon is a Counselor provider in Worcester, MA (NPI 1356676936).
Provider details
- NPI number
- 1356676936
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
86 Plantation St.
Worcester, MA 01604
Phone: (508) 459-0739
Street-level locationGet directions
Mailing address
86 Plantation St
Worcester, MA 01604-3024
Registry dates
- Enumerated
- 2009-10-15
- Last updated
- 2009-10-15
Frequently asked questions
- What is Timothy Gannon's NPI number?
- Timothy Gannon's National Provider Identifier (NPI) is 1356676936, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Gannon's specialty?
- Timothy Gannon is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Timothy Gannon located?
- Timothy Gannon's practice location on file with NPPES is 86 Plantation St., Worcester, MA 01604.
- What is Timothy Gannon's phone number?
- The practice phone number listed in the NPPES registry for Timothy Gannon is (508) 459-0739.
- Is Timothy Gannon's NPI active?
- Yes — Timothy Gannon's NPI (1356676936) is active in the NPPES registry as of the last update on 2009-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.