| The Mental Health Center Of Greater Manchester | |
|
401 Cypress Street Manchester NH 03103 | |
| (603) 668-4111 | |
| (603) 628-7757 |
| Full Name | The Mental Health Center Of Greater Manchester |
|---|---|
| Speciality | Clinic/Center |
| Location | 401 Cypress Street, Manchester, New Hampshire |
| Authorized Official Name and Position | Paul Michaud (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6036684111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mental Health Center Of Greater Manchester 401 Cypress Street Manchester NH 03103 Ph: (603) 668-4111 | The Mental Health Center Of Greater Manchester 401 Cypress Street Manchester NH 03103 Ph: (603) 668-4111 |
| NPI Number | 1609848811 |
|---|---|
| Provider Enumeration Date | 02/02/2006 |
| Last Update Date | 10/16/2015 |
| Medicare PECOS PAC ID | 6709874274 |
|---|---|
| Medicare Enrollment ID | O20040504000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609848811 | NPI | - | NPPES |
| 606512 | Other | TUFTS GROUP NUMBER | |
| 8PK | Other | FEDERAL BCBS NUMBER | |
| 3075437 | Medicaid | NH | |
| 008774 | Other | PACIFICARE GROUP NUMBER | |
| 289142 | Other | MAGELLAN GROUP NUMBER | |
| 81263575 | Medicaid | NH | |
| 50NH00674NH02 | Other | NH | LOCAL BCBS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2437 (New Hampshire) | Primary |
| Provider Name | Nancy Thomson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013013622 PECOS PAC ID: 9133011042 Enrollment ID: I20040326000075 |
| Provider Name | Glenn Quinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932203619 PECOS PAC ID: 6709867955 Enrollment ID: I20040525001177 |
| Provider Name | Lisa Krygeris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205934270 PECOS PAC ID: 7719962042 Enrollment ID: I20040622000099 |
| Provider Name | Richard Cornell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346347150 PECOS PAC ID: 3870578115 Enrollment ID: I20040622000125 |
| Provider Name | Peter Costa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629174313 PECOS PAC ID: 7517932759 Enrollment ID: I20040831000751 |
| Provider Name | Janet Carella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386615110 PECOS PAC ID: 5799754123 Enrollment ID: I20041001000112 |
| Provider Name | Quentin Turnbull |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811972938 PECOS PAC ID: 8426019340 Enrollment ID: I20041025000281 |
| Provider Name | Marla Severn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598853038 PECOS PAC ID: 6103881446 Enrollment ID: I20041129000153 |
| Provider Name | Dawn E Spann Weitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790894814 PECOS PAC ID: 2466405758 Enrollment ID: I20050228000043 |
| Provider Name | Kristy Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952347734 PECOS PAC ID: 6608817036 Enrollment ID: I20050517000158 |
| Provider Name | Jill E Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093803546 PECOS PAC ID: 7719923952 Enrollment ID: I20050628001235 |
| Provider Name | Marcy Ainslie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407913478 PECOS PAC ID: 0749210722 Enrollment ID: I20050818001029 |
| Provider Name | Leslie L Clukay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487750097 PECOS PAC ID: 9830124718 Enrollment ID: I20050929000179 |
| Provider Name | Mark Powers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376641340 PECOS PAC ID: 7719907328 Enrollment ID: I20051128000821 |
| Provider Name | Sarah L Mason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922106996 PECOS PAC ID: 6305851353 Enrollment ID: I20060213000095 |
| Provider Name | Gabriele K Lieberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174620967 PECOS PAC ID: 6709892359 Enrollment ID: I20060306000717 |
| Provider Name | Cynthia L Wolz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275599094 PECOS PAC ID: 7517910805 Enrollment ID: I20060505000571 |
| Provider Name | Kristen Kraunelis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093748915 PECOS PAC ID: 7911910179 Enrollment ID: I20060711000359 |
| Provider Name | Diana R Schryver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356401665 PECOS PAC ID: 5092717108 Enrollment ID: I20070202000084 |
| Provider Name | Jeanna R Still |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841367174 PECOS PAC ID: 4688752058 Enrollment ID: I20080425000147 |
| Provider Name | Santharam Yadati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053452508 PECOS PAC ID: 2062585441 Enrollment ID: I20080717000547 |
| Provider Name | Elizabeth Blencowe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689743551 PECOS PAC ID: 3779641071 Enrollment ID: I20081015000005 |
| Provider Name | Sreenivas Katragadda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972698850 PECOS PAC ID: 9436257466 Enrollment ID: I20081028000367 |
| Provider Name | Jill Ruggiero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255579439 PECOS PAC ID: 3173688405 Enrollment ID: I20090219000378 |
| Provider Name | John L Lebow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861641748 PECOS PAC ID: 0345396057 Enrollment ID: I20090928000108 |
| Provider Name | Laurie Doucette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588724678 PECOS PAC ID: 2466594726 Enrollment ID: I20100125000395 |
| Provider Name | Michael C Zoltko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295041010 PECOS PAC ID: 5991992224 Enrollment ID: I20101213000056 |
| Provider Name | David D Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346374998 PECOS PAC ID: 2769665330 Enrollment ID: I20110321000509 |
| Provider Name | Iphigenia C Hatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679641732 PECOS PAC ID: 1153505375 Enrollment ID: I20110413000569 |
| Provider Name | Catharine A Main |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487752457 PECOS PAC ID: 0749457471 Enrollment ID: I20120120000880 |
| Provider Name | Pamela G Hoskins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912146952 PECOS PAC ID: 5890955280 Enrollment ID: I20120321000806 |
| Provider Name | Jennifer Lee Decato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174711956 PECOS PAC ID: 3274787221 Enrollment ID: I20130129000398 |
| Provider Name | Tabitha M Hachey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508298787 PECOS PAC ID: 5395975734 Enrollment ID: I20140304000129 |
| Provider Name | Michael D Mcnamara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861477259 PECOS PAC ID: 5496763989 Enrollment ID: I20140718000051 |
| Provider Name | Kimberly A Dean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568539724 PECOS PAC ID: 4385862929 Enrollment ID: I20140825000137 |
| Provider Name | Jennifer S Rioux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699180208 PECOS PAC ID: 1153549068 Enrollment ID: I20140905000662 |
| Provider Name | Christian P Dangremond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770831281 PECOS PAC ID: 8022249788 Enrollment ID: I20140919001131 |
| Provider Name | Gavin T. O'brien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659431211 PECOS PAC ID: 1951628759 Enrollment ID: I20150316000448 |
| Provider Name | Tuyet T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295159465 PECOS PAC ID: 7719204130 Enrollment ID: I20150324002000 |
| Provider Name | Sylvia A Bradd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013174119 PECOS PAC ID: 2567775158 Enrollment ID: I20150727000675 |
| Provider Name | Danielle M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891057113 PECOS PAC ID: 5890014757 Enrollment ID: I20151104000755 |
| Provider Name | Olivia Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184000879 PECOS PAC ID: 5799095410 Enrollment ID: I20151110000776 |
| Provider Name | Jennifer Paris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417189077 PECOS PAC ID: 7911202932 Enrollment ID: I20160229001421 |
| Provider Name | Sarah Bernier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023411865 PECOS PAC ID: 1355640814 Enrollment ID: I20160504002026 |
| Provider Name | Meaghan Johns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568698033 PECOS PAC ID: 8426340829 Enrollment ID: I20160705001758 |
| Provider Name | Donald S Pociask |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902966211 PECOS PAC ID: 8022305747 Enrollment ID: I20160923001414 |
| Provider Name | Melissa French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306184957 PECOS PAC ID: 8224326228 Enrollment ID: I20161006001506 |
| Provider Name | Meghan Coyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942580733 PECOS PAC ID: 3870873144 Enrollment ID: I20161201001885 |
| Provider Name | Joe M Figuereo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255717344 PECOS PAC ID: 5991088841 Enrollment ID: I20170220001528 |
| Provider Name | Adrianna Wheelock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942575683 PECOS PAC ID: 3870860109 Enrollment ID: I20170517000810 |
| Provider Name | Danielle Panciocco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023421872 PECOS PAC ID: 1759658644 Enrollment ID: I20170524002305 |
| Provider Name | Karen M Jorgensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023343035 PECOS PAC ID: 1951674639 Enrollment ID: I20170831000017 |
| Provider Name | Erika Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235652322 PECOS PAC ID: 4082987524 Enrollment ID: I20170906001381 |
| Provider Name | Brenda M. Karibian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902327935 PECOS PAC ID: 9739445198 Enrollment ID: I20171117002003 |
| Provider Name | Allison Curran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629479894 PECOS PAC ID: 3173880960 Enrollment ID: I20171204001467 |
| Provider Name | Elizabeth Catherine Braconi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114160579 PECOS PAC ID: 6305108572 Enrollment ID: I20180328000755 |
| Provider Name | Aimee Hackett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346741741 PECOS PAC ID: 8628332210 Enrollment ID: I20180508000053 |
| Provider Name | Julie S Buccarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841717956 PECOS PAC ID: 9638435837 Enrollment ID: I20180712001371 |
| Provider Name | Claire Mary Tenny |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265676795 PECOS PAC ID: 2668635038 Enrollment ID: I20180727001884 |
| Provider Name | Victoria Felkl |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376969824 PECOS PAC ID: 8022366178 Enrollment ID: I20180806001709 |
| Provider Name | Craig Iannotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245789957 PECOS PAC ID: 8123377546 Enrollment ID: I20180817002904 |
| Provider Name | Yunieska Krug |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750531109 PECOS PAC ID: 8426394339 Enrollment ID: I20190115000648 |
| Provider Name | Yu-mei Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649746736 PECOS PAC ID: 4981940723 Enrollment ID: I20190115002313 |
| Provider Name | Nicole Fordey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871978171 PECOS PAC ID: 6002170438 Enrollment ID: I20190124002623 |
| Provider Name | Christine Kociszewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659851178 PECOS PAC ID: 8325385040 Enrollment ID: I20190202000030 |
| Provider Name | Alison Mackay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699217166 PECOS PAC ID: 7113267667 Enrollment ID: I20190319002406 |
| Provider Name | Linda Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730640657 PECOS PAC ID: 0244571875 Enrollment ID: I20190409002051 |
| Provider Name | Ashwini Saxena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972999316 PECOS PAC ID: 0345575619 Enrollment ID: I20190709000807 |
| Provider Name | Ashley N Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952762346 PECOS PAC ID: 6204163090 Enrollment ID: I20190816002231 |
| Provider Name | Chelsea Reid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598145831 PECOS PAC ID: 6901134170 Enrollment ID: I20190826003012 |
| Provider Name | Rose S Ehret |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962429837 PECOS PAC ID: 7517992589 Enrollment ID: I20191105002026 |
| Provider Name | Alexandria Madeline Bouchard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225472806 PECOS PAC ID: 8224460993 Enrollment ID: I20191119000048 |
| Provider Name | Lynn M Barowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730496662 PECOS PAC ID: 5597199836 Enrollment ID: I20191219002353 |
| Provider Name | Alyssa Frechette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811415177 PECOS PAC ID: 7517391378 Enrollment ID: I20200102002357 |
| Provider Name | Sandra L Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598241028 PECOS PAC ID: 7416383310 Enrollment ID: I20200213001148 |
| Provider Name | Meghan R Hebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831708643 PECOS PAC ID: 0244658185 Enrollment ID: I20200909003194 |
| Provider Name | Kirija Kokulanathan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588117642 PECOS PAC ID: 3870880628 Enrollment ID: I20201105002740 |
| Provider Name | Lisa A Gerhardt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023536919 PECOS PAC ID: 2769893403 Enrollment ID: I20201201001834 |
| Provider Name | Darcy Marie Killerby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710479290 PECOS PAC ID: 9638581093 Enrollment ID: I20201209002326 |
| Provider Name | Brandi Adinolfo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407465768 PECOS PAC ID: 6103238233 Enrollment ID: I20201215001510 |
| Provider Name | Lily Roselin Raja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962814939 PECOS PAC ID: 0840603536 Enrollment ID: I20210120000905 |
| Provider Name | Lisa A Kazakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063983690 PECOS PAC ID: 7618207358 Enrollment ID: I20210216002162 |
| Provider Name | Kailee Mae Merryfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164050522 PECOS PAC ID: 5799191045 Enrollment ID: I20210310002652 |
| Provider Name | Marina Pena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598241762 PECOS PAC ID: 9830507987 Enrollment ID: I20210409001363 |
| Provider Name | Alice King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841741667 PECOS PAC ID: 3173931037 Enrollment ID: I20210415000101 |
| Provider Name | Shalini Gupta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598904476 PECOS PAC ID: 5991854788 Enrollment ID: I20210415001393 |
| Provider Name | Melissa R Brahms |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881942704 PECOS PAC ID: 5991104820 Enrollment ID: I20210526002516 |
| Provider Name | Alicia Joyal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477071355 PECOS PAC ID: 0446651103 Enrollment ID: I20210701001834 |
| Provider Name | Elias Koester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154732642 PECOS PAC ID: 4880097492 Enrollment ID: I20210720002470 |
| Provider Name | Jillian Burkley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700281870 PECOS PAC ID: 0143610410 Enrollment ID: I20211130001240 |
| Provider Name | Meghan Kielbania |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750045845 PECOS PAC ID: 5193115202 Enrollment ID: I20211203002260 |
| Provider Name | Rianna Bazzinotti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447898952 PECOS PAC ID: 6901297282 Enrollment ID: I20211221000603 |
| Provider Name | Michael Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063058931 PECOS PAC ID: 3678964798 Enrollment ID: I20211229000072 |
| Provider Name | Ainsley P Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669125654 PECOS PAC ID: 2163815382 Enrollment ID: I20220211000896 |
| Provider Name | Richard Matthew Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427634229 PECOS PAC ID: 0749663458 Enrollment ID: I20220812001962 |
| Provider Name | Victoria Jean Dumoulin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396369666 PECOS PAC ID: 9830573880 Enrollment ID: I20220825001330 |
| Provider Name | Elisheva C. Cohen Trudel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114238078 PECOS PAC ID: 6204210289 Enrollment ID: I20220825002733 |
| Provider Name | Nicole Dinwiddie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134777105 PECOS PAC ID: 3173999562 Enrollment ID: I20221027000537 |
| Provider Name | Samantha Paulina Avila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740683606 PECOS PAC ID: 5799153292 Enrollment ID: I20221114002714 |
| Provider Name | Jessica Ruth Silvers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710532858 PECOS PAC ID: 9931571445 Enrollment ID: I20230209002370 |
| Provider Name | Michelle Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063967263 PECOS PAC ID: 0143693036 Enrollment ID: I20230223001034 |
| Provider Name | Emily Gennetti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790139640 PECOS PAC ID: 3173998325 Enrollment ID: I20230331001725 |
| Provider Name | Jonathan Denis Routhier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720784416 PECOS PAC ID: 2567837685 Enrollment ID: I20230403002086 |
| Provider Name | Whitney Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790475457 PECOS PAC ID: 1153788401 Enrollment ID: I20230601001798 |
| Provider Name | Kayla Bettencourt Silva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275139883 PECOS PAC ID: 4981061520 Enrollment ID: I20230613001381 |
| Provider Name | Carol Barbara Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720769870 PECOS PAC ID: 6305290529 Enrollment ID: I20230921003074 |
| Provider Name | Oluwatobi A Ogunbayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245019421 PECOS PAC ID: 8022464106 Enrollment ID: I20231025003101 |
| Provider Name | Meredith Markievitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790382539 PECOS PAC ID: 4183072895 Enrollment ID: I20231117002875 |
| Provider Name | Steven Michael Ayers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255007340 PECOS PAC ID: 4284082470 Enrollment ID: I20231129000283 |
| Provider Name | Tracie Molina Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548864309 PECOS PAC ID: 7719335843 Enrollment ID: I20231129002007 |
| Provider Name | Kerry F. Henault |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760123806 PECOS PAC ID: 4587013743 Enrollment ID: I20231213001418 |
| Provider Name | Michael Bradley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972680478 PECOS PAC ID: 2860842226 Enrollment ID: I20231227001511 |
| Provider Name | Shawn Buck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790181949 PECOS PAC ID: 9931559044 Enrollment ID: I20240102000573 |
| Provider Name | Russell H Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457439853 PECOS PAC ID: 4183074206 Enrollment ID: I20240102000701 |
| Provider Name | Britney Sebastien |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972144418 PECOS PAC ID: 9335599331 Enrollment ID: I20240102003825 |
| Provider Name | Racheal Ann Howe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740608892 PECOS PAC ID: 9537510417 Enrollment ID: I20240104001794 |
| Provider Name | Lynnea Koester |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912419821 PECOS PAC ID: 9234580135 Enrollment ID: I20240104002686 |
| Provider Name | Mark Boegel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649347972 PECOS PAC ID: 1052762952 Enrollment ID: I20240104002710 |
| Provider Name | Kimberly Meurillon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831500248 PECOS PAC ID: 1759732688 Enrollment ID: I20240104003643 |
| Provider Name | Robert Reisman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457411761 PECOS PAC ID: 9739530684 Enrollment ID: I20240104004540 |
| Provider Name | Maryjo Mccreedy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861900433 PECOS PAC ID: 2466803242 Enrollment ID: I20240105001148 |
| Provider Name | Charlotte Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790193373 PECOS PAC ID: 3072964733 Enrollment ID: I20240105003989 |
| Provider Name | Shannyn Olivier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285014407 PECOS PAC ID: 4587015151 Enrollment ID: I20240108004876 |
| Provider Name | Kimberly Ahlgren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497842496 PECOS PAC ID: 5395196836 Enrollment ID: I20240109001489 |
| Provider Name | Lisa Ann Sutter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003581000 PECOS PAC ID: 5193176667 Enrollment ID: I20240109002376 |
| Provider Name | Angela R Isaia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114348430 PECOS PAC ID: 8820449929 Enrollment ID: I20240112000971 |
| Provider Name | Tara Rousselle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194057455 PECOS PAC ID: 1355793415 Enrollment ID: I20240115001032 |
| Provider Name | Carmen Bertran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578894317 PECOS PAC ID: 6507218674 Enrollment ID: I20240115001129 |
| Provider Name | Jean Fortier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407943129 PECOS PAC ID: 7810349743 Enrollment ID: I20240117000142 |
| Provider Name | Patricia Pendoley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134582661 PECOS PAC ID: 4183077159 Enrollment ID: I20240125002764 |
| Provider Name | James R.f. Clements |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356491088 PECOS PAC ID: 7810340890 Enrollment ID: I20240125002771 |
| Provider Name | Ryan Hindenach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215464110 PECOS PAC ID: 8022461904 Enrollment ID: I20240126002171 |
| Provider Name | Katherine Landry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144723248 PECOS PAC ID: 8820350093 Enrollment ID: I20240129004180 |
| Provider Name | Dawna Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649548124 PECOS PAC ID: 4486004686 Enrollment ID: I20240131000737 |
| Provider Name | Heather Jeanne Martineau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699143214 PECOS PAC ID: 2668815713 Enrollment ID: I20240206003153 |
| Provider Name | Darlene Lombardi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639246978 PECOS PAC ID: 7416390448 Enrollment ID: I20240207000891 |
| Provider Name | James Joseph Wood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912062456 PECOS PAC ID: 6305289174 Enrollment ID: I20240208002101 |
| Provider Name | Michelle Smiddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619731775 PECOS PAC ID: 0749625044 Enrollment ID: I20240227000159 |
| Provider Name | Matthew H Hersey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538923925 PECOS PAC ID: 7416392758 Enrollment ID: I20240227001506 |
| Provider Name | Lynn C Winther |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245206556 PECOS PAC ID: 8224043500 Enrollment ID: I20240304003294 |
| Provider Name | Lynn Ann Angelo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164163515 PECOS PAC ID: 6305282427 Enrollment ID: I20240312002100 |
| Provider Name | Bianca M Dovas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740527076 PECOS PAC ID: 9436595477 Enrollment ID: I20240312003279 |
| Provider Name | Matthew Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083113864 PECOS PAC ID: 0143669382 Enrollment ID: I20240419002481 |
| Provider Name | David Carroll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043372071 PECOS PAC ID: 7315387289 Enrollment ID: I20240425004227 |
| Provider Name | Elisabeth Mensinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144670225 PECOS PAC ID: 7113367814 Enrollment ID: I20240429001455 |
| Provider Name | Ashley Nicole Cottle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124625819 PECOS PAC ID: 9234570235 Enrollment ID: I20240508001501 |
Holly Rioux Licsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Hanover St Ste 200, Manchester, NH 03101 Phone: 617-804-0948 | |
Home Base Collaborative Family Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Elm St Ste 2, Manchester, NH 03104 Phone: 603-998-5186 | |
The Lodge Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Knowlton St, Manchester, NH 03103 Phone: 603-493-2070 | |
Elliot Neurology Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Queen City Ave, Elliot Neurology Associates, Manchester, NH 03101 Phone: 603-669-0859 Fax: 603-644-3391 | |
Rtt Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1230 Elm St, Suite 103, Manchester, NH 03101 Phone: 603-668-6505 Fax: 603-622-0498 | |
Sky Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Bridge St, Suite 104, Manchester, NH 03101 Phone: 603-836-5767 Fax: 603-836-1105 | |
Brainergize Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 923 Elm St, Pmb 10, Manchester, NH 03101 Phone: 518-620-1670 |