Healthcare Provider Details

I. General information

NPI: 1437527728
Provider Name (Legal Business Name): KAITLIN GAFFNEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2015
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 RESERVOIR ST STE 21
NEEDHAM MA
02494-3133
US

IV. Provider business mailing address

3 ALLIED DR STE 303
DEDHAM MA
02026-6148
US

V. Phone/Fax

Practice location:
  • Phone: 781-449-1143
  • Fax:
Mailing address:
  • Phone: 781-384-1998
  • Fax: 781-570-4169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2299050
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: