# GLENGAYNOR PSYCHOTHERAPY PRACTICE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1447393087
- **Authorized official:** MR. JAMES JOHN GAYNOR ARNP (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (603) 863-7142

## Contact information

- **Practice address:** 120 ROUTE 10, SAWYER BROOK PLAZA-SUITE 10, GRANTHAM, NH 03753
- **Practice address phone:** (603) 863-3788
- **Practice address fax:** (603) 863-2753
- **Mailing address:** PO BOX 272, SAWYER BROOK PLAZA - SUITE 10, GRANTHAM, NH 03753-0272
- **Mailing address phone:** (603) 863-3788
- **Mailing address fax:** (603) 863-2753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 049181-23-08 | NH | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 08/22/2020