Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shivaun Gannon, MD

Individual provider Psychiatry Physician · NPI 1619328267

Dr. Shivaun Gannon, MD is a Psychiatry Physician in Brockton, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts and Washington.

Licensed in
MA, WA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

940 Belmont St
Brockton, MA 02301-5596
Phone: (774) 826-2458
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 267376 (MA)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD60945827 (WA)

Record details

NPI number1619328267
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 24, 2016
Last updated in NPPESJuly 9, 2021
Certification dateJuly 9, 2021

Other providers in Brockton