| Innovative Psychiatry Center Inc | |
|
258 S River Rd Bedford NH 03110-6822 | |
| (603) 758-3192 | |
| Not Available |
| Full Name | Innovative Psychiatry Center Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 258 S River Rd, Bedford, 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 258 S River Rd Bedford NH 03110-6822 Ph: (603) 758-3192 | Innovative Psychiatry Center Inc 258 S River Rd Bedford NH 03110-6822 Ph: (603) 758-3192 |
| NPI Number | 1588323539 |
|---|---|
| Provider Enumeration Date | 12/16/2021 |
| Last Update Date | 11/24/2025 |
| Certification Date | 11/24/2025 |
| Medicare PECOS PAC ID | 1052706231 |
|---|---|
| Medicare Enrollment ID | O20220325000578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588323539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (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 |
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