| Fusion Behavioral Care, Llc | |
|
280 Pleasant St Ste 1 Concord NH 03301-2553 | |
| (603) 622-8665 | |
| (833) 413-4978 |
| Full Name | Fusion Behavioral Care, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 280 Pleasant St Ste 1, Concord, New Hampshire |
| Authorized Official Name and Position | Dennis Theriault (CEO) |
| Authorized Official Contact | 6034408618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fusion Behavioral Care, Llc 280 Pleasant St Ste 1 Concord NH 03301-2553 Ph: (603) 622-8665 | Fusion Behavioral Care, Llc 280 Pleasant St Ste 1 Concord NH 03301-2553 Ph: (603) 622-8665 |
| NPI Number | 1497512198 |
|---|---|
| Provider Enumeration Date | 02/29/2024 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Medicare PECOS PAC ID | 7416490438 |
|---|---|
| Medicare Enrollment ID | O20240619000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497512198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Powen Hsu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912991159 PECOS PAC ID: 1557265006 Enrollment ID: I20041210000062 |
| Provider Name | Susan R Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659368595 PECOS PAC ID: 0143309492 Enrollment ID: I20080512000447 |
| Provider Name | Tabitha M Hachey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508298787 PECOS PAC ID: 5395975734 Enrollment ID: I20140304000129 |
| Provider Name | Jennifer S Rioux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699180208 PECOS PAC ID: 1153549068 Enrollment ID: I20140905000662 |
| Provider Name | Crystal M Painter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891559449 PECOS PAC ID: 7719424506 Enrollment ID: I20240729003893 |
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