Shivaun Gannon, MD
NPI 1619328267 · Psychiatry Physician · Brockton, MA
Enrolled with Medicare as Order and Referring Only - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shivaun Gannon, MD is a Psychiatry Physician provider in Brockton, MA (NPI 1619328267).
Provider details
- NPI number
- 1619328267
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- MD60945827 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2016-06-24
- Last updated
- 2021-07-09
- Certified
- 2021-07-09
Frequently asked questions
- What is Shivaun Gannon's NPI number?
- Shivaun Gannon's National Provider Identifier (NPI) is 1619328267, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shivaun Gannon's specialty?
- Shivaun Gannon is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Shivaun Gannon located?
- Shivaun Gannon's practice location on file with NPPES is 940 Belmont St, Brockton, MA 02301-5596.
- What is Shivaun Gannon's phone number?
- The practice phone number listed in the NPPES registry for Shivaun Gannon is (774) 826-2458.
- Does Shivaun Gannon accept Medicare?
- Shivaun Gannon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shivaun Gannon's NPI active?
- Yes — Shivaun Gannon's NPI (1619328267) is active in the NPPES registry as of the last update on 2021-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.