# GENERATIONS PSYCHIATRY SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316501042
- **Authorized official:** RYAN JOHN DILLON APRN (OWNER)
- **Authorized official phone:** (203) 215-7344

## Contact information

- **Practice address:** 420 E MAIN ST STE 5, BRANFORD, CT 06405-2941
- **Practice address phone:** (203) 433-2550
- **Practice address fax:** (949) 404-6557
- **Mailing address:** 420 E MAIN ST STE 5, BRANFORD, CT 06405-2941
- **Mailing address phone:** (203) 433-2550
- **Mailing address fax:** (949) 404-6557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/29/2019
- **Last updated:** 04/29/2019
