Doctor profile · Federal record
Dr. Jacklyn Gannon
Psychiatric/Mental Health Nurse Practitioner (CMS: Nurse Practitioner) · Emergency Registered Nurse · Stony Brook, NY
- NPI 1841078359
- Accepts Medicare
- 3 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
101 Nicolls RD
Stony Brook, NY 117940001
(631) 638-1036 - Mailing address
-
55C Commodore Ln
West Babylon, NY 117048203
Credentials & registration
- NPI registered
- September 2023 — 3 yrs on file
- Profile last updated
- October 10, 2023
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363LP0808X — NUCC code
- State licenses (2)
- New York #405347 · New York #745153
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1841078359. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$617
Transactions
28
Manufacturers
11
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Lundbeck LLC | 7 | $137.59 | |
| Janssen Pharmaceuticals, INC | 4 | $109.98 | |
| Teva Pharmaceuticals USA, INC. | 5 | $104.09 | |
| Otsuka America Pharmaceutical, INC. | 3 | $63.48 | |
| Neurocrine Biosciences, INC. | 2 | $53.76 | |
| Corium, LLC | 2 | $40.95 | |
| Supernus Pharmaceuticals, INC. | 1 | $27.36 | |
| Iti, INC. (D/B/A Intra-Cellular Therapies, INC.) | 1 | $23.35 | |
| Takeda Pharmaceuticals U.S.A., INC. | 1 | $22.40 | |
| Almatica Pharma LLC | 1 | $19.14 | |
| Idorsia Pharmaceuticals US INC | 1 | $15.34 |
By nature of payment
Frequently asked questions
What is Dr. Jacklyn Gannon's medical specialty?
Dr. Jacklyn Gannon practices Psychiatric/Mental Health Nurse Practitioner in Stony Brook, NY.
Where does Dr. Jacklyn Gannon practice?
Dr. Jacklyn Gannon practices at 101 Nicolls RD, Stony Brook, NY 117940001. Office phone: 6316381036.
What is Dr. Jacklyn Gannon's NPI?
Dr. Jacklyn Gannon's National Provider Identifier (NPI) is 1841078359, issued by NPPES.
Does Dr. Jacklyn Gannon accept Medicare assignment?
Yes. Dr. Jacklyn Gannon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.