| Innovative Psychiatry Center Inc | |
|
132 Drinkwater Rd Hampton Falls NH 03844-2424 | |
| (603) 997-1889 | |
| Not Available |
| Full Name | Innovative Psychiatry Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 132 Drinkwater Rd, Hampton Falls, New Hampshire |
| Authorized Official Name and Position | Lauren Marie Belliveau (CEO) |
| Authorized Official Contact | 6039971889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Psychiatry Center Inc 132 Drinkwater Rd Hampton Falls NH 03844-2424 Ph: (603) 997-1889 | Innovative Psychiatry Center Inc 132 Drinkwater Rd Hampton Falls NH 03844-2424 Ph: (603) 997-1889 |
| NPI Number | 1588323539 |
|---|---|
| Provider Enumeration Date | 12/16/2021 |
| Last Update Date | 12/16/2021 |
| Certification Date | 12/16/2021 |
| Medicare PECOS PAC ID | 1052706231 |
|---|---|
| Medicare Enrollment ID | O20220325000578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588323539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Paul F Belliveau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235232455 PECOS PAC ID: 2769404433 Enrollment ID: I20051221000827 |
| Provider Name | Jodi F Marshall |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1710093174 PECOS PAC ID: 1850454232 Enrollment ID: I20090112000266 |
| Provider Name | Clive E Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710655006 PECOS PAC ID: 3173901345 Enrollment ID: I20220531000187 |