Provider Demographics
NPI:1255111449
Name:MCGANN, THOMAS G (CASAC)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:G
Last Name:MCGANN
Suffix:
Gender:M
Credentials:CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2875 ROUTE 35
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-3181
Mailing Address - Country:US
Mailing Address - Phone:914-666-0191
Mailing Address - Fax:
Practice Address - Street 1:2875 ROUTE 35
Practice Address - Street 2:
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-3181
Practice Address - Country:US
Practice Address - Phone:914-666-0191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)