| Novus Vita Counseling, Pllc | |
|
1361 Elm St Suite 400 Manchester NH 03101-1324 | |
| (603) 232-6987 | |
| (603) 935-9056 |
| Full Name | Novus Vita Counseling, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1361 Elm St, Manchester, New Hampshire |
| Authorized Official Name and Position | Howard Alan Goodman (MANAGING PARTNER) |
| Authorized Official Contact | 6032326987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novus Vita Counseling, Pllc 69 Bay St Manchester NH 03104-3005 Ph: (603) 232-6987 | Novus Vita Counseling, Pllc 1361 Elm St Suite 400 Manchester NH 03101-1324 Ph: (603) 232-6987 |
| NPI Number | 1497094296 |
|---|---|
| Provider Enumeration Date | 02/14/2013 |
| Last Update Date | 03/15/2021 |
| Certification Date | 03/15/2021 |
| Medicare PECOS PAC ID | 1254558711 |
|---|---|
| Medicare Enrollment ID | O20140807001126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497094296 | NPI | - | NPPES |
| Provider Name | Paul H Wright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528243904 PECOS PAC ID: 9133147473 Enrollment ID: I20051105000026 |
| Provider Name | Howard Alan Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194939967 PECOS PAC ID: 4385861848 Enrollment ID: I20140807001317 |
| Provider Name | Maurice Regan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164834933 PECOS PAC ID: 9537118484 Enrollment ID: I20141120000266 |
| Provider Name | Laura Anne Halvorsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972811289 PECOS PAC ID: 1557668068 Enrollment ID: I20160329001348 |
| Provider Name | Jan Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134662893 PECOS PAC ID: 2769756360 Enrollment ID: I20201009002062 |
| Provider Name | Julie A Robichaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396446696 PECOS PAC ID: 8123493913 Enrollment ID: I20230410000824 |
| Provider Name | Elizabeth A Palazzolo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235363607 PECOS PAC ID: 3870946767 Enrollment ID: I20240126002480 |
| Provider Name | Tyler J Bristol |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720484694 PECOS PAC ID: 7618320938 Enrollment ID: I20240201004173 |
| Provider Name | Ellen V Papanikolaou |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851485593 PECOS PAC ID: 2567689029 Enrollment ID: I20240417003071 |
| Provider Name | Bryan Haak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437407806 PECOS PAC ID: 5799227534 Enrollment ID: I20240607000544 |
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