| Lifestance Health | |
|
1 Main St Nashua NH 03064 | |
| (603) 883-0005 | |
| (603) 883-0007 |
| Full Name | Lifestance Health |
|---|---|
| Speciality | Psychologist |
| Location | 1 Main St, Nashua, New Hampshire |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 4252798500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health 1 Main St Nashua NH 03064-2716 Ph: (603) 883-0005 | Lifestance Health 1 Main St Nashua NH 03064 Ph: (603) 883-0005 |
| NPI Number | 1144275389 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Medicare PECOS PAC ID | 3274523758 |
|---|---|
| Medicare Enrollment ID | O20040929000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144275389 | NPI | - | NPPES |
| 80003475 | Medicaid | NH |
| Provider Name | Grace A Tallarico |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518071133 PECOS PAC ID: 1951395896 Enrollment ID: I20040413000821 |
| Provider Name | Roger C Cawley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982624656 PECOS PAC ID: 5496790008 Enrollment ID: I20050623000964 |
| Provider Name | Jane E Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134214265 PECOS PAC ID: 1850337718 Enrollment ID: I20050630000358 |
| Provider Name | Patricia A Leary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952471096 PECOS PAC ID: 4981640810 Enrollment ID: I20050630000988 |
| Provider Name | Bonnie A Cloukey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831655398 PECOS PAC ID: 9234160151 Enrollment ID: I20050830000587 |
| Provider Name | Bette Lewicke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992757520 PECOS PAC ID: 7113951922 Enrollment ID: I20050921000707 |
| Provider Name | Judith Lambert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023116092 PECOS PAC ID: 2466486105 Enrollment ID: I20050922000580 |
| Provider Name | George M Nowak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265526024 PECOS PAC ID: 6305864653 Enrollment ID: I20051105000138 |
| Provider Name | Paul E Downey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639153026 PECOS PAC ID: 7113946625 Enrollment ID: I20051114001124 |
| Provider Name | Johanna M Lewis-esquerre |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518071299 PECOS PAC ID: 6305865684 Enrollment ID: I20051116000189 |
| Provider Name | Allan E Mendell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598704025 PECOS PAC ID: 0547282055 Enrollment ID: I20051228000091 |
| Provider Name | Nancy D Leblanc |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740277680 PECOS PAC ID: 7810910346 Enrollment ID: I20060110000943 |
| Provider Name | Cynthia Cahoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386732022 PECOS PAC ID: 4880609239 Enrollment ID: I20060207000550 |
| Provider Name | Laura Richman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932213535 PECOS PAC ID: 0840205761 Enrollment ID: I20060214000639 |
| Provider Name | Richard M Naimark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790730471 PECOS PAC ID: 3375550916 Enrollment ID: I20060307000633 |
| Provider Name | Bonnie A Kanin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033223615 PECOS PAC ID: 5395752810 Enrollment ID: I20060308000477 |
| Provider Name | Lori E Hillard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790899532 PECOS PAC ID: 9032126388 Enrollment ID: I20060313000256 |
| Provider Name | Teresa M Cadorette |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659322238 PECOS PAC ID: 4880602366 Enrollment ID: I20060324000164 |
| Provider Name | Michael F Magee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750374559 PECOS PAC ID: 5395753842 Enrollment ID: I20060327000050 |
| Provider Name | James R Kates |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760565600 PECOS PAC ID: 8527076074 Enrollment ID: I20060327000101 |
| Provider Name | Julie H Marsden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932118825 PECOS PAC ID: 1658374376 Enrollment ID: I20060819000011 |
| Provider Name | Sari E Lessard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124073564 PECOS PAC ID: 9739182379 Enrollment ID: I20060821000167 |
| Provider Name | David G Kamen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316041700 PECOS PAC ID: 9638174543 Enrollment ID: I20061011000201 |
| Provider Name | Carol A Drouin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033208376 PECOS PAC ID: 0941207930 Enrollment ID: I20061106000178 |
| Provider Name | Lisa A Higgins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598830762 PECOS PAC ID: 7618070467 Enrollment ID: I20070315000096 |
| Provider Name | Christina A Tempesta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063554319 PECOS PAC ID: 2466553433 Enrollment ID: I20070720000106 |
| Provider Name | Daniel C Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972696078 PECOS PAC ID: 7517054661 Enrollment ID: I20071106000492 |
| Provider Name | Colette L Dumont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063467041 PECOS PAC ID: 4688751878 Enrollment ID: I20080412000023 |
| Provider Name | Susan R Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659368595 PECOS PAC ID: 0143309492 Enrollment ID: I20080512000447 |
| Provider Name | Sreenivas Katragadda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972698850 PECOS PAC ID: 9436257466 Enrollment ID: I20081028000367 |
| Provider Name | Victoria A Gorveatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720129406 PECOS PAC ID: 5193750123 Enrollment ID: I20081114000323 |
| Provider Name | Martha Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730334343 PECOS PAC ID: 2769547405 Enrollment ID: I20090213000027 |
| Provider Name | Rebecca K Sartor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073750758 PECOS PAC ID: 4688719651 Enrollment ID: I20100302000208 |
| Provider Name | Almos I Nagy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184848467 PECOS PAC ID: 6507998788 Enrollment ID: I20100723000421 |
| Provider Name | Heather Andonucci Hill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285959577 PECOS PAC ID: 6709918899 Enrollment ID: I20100726000482 |
| Provider Name | Sarah Walsh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295843175 PECOS PAC ID: 2668664715 Enrollment ID: I20101007000291 |
| Provider Name | Carrie Gray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487847786 PECOS PAC ID: 1254526577 Enrollment ID: I20101112000344 |
| Provider Name | Beth Connolly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972641306 PECOS PAC ID: 8022299478 Enrollment ID: I20110218000287 |
| Provider Name | David A Schmidt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184774184 PECOS PAC ID: 9133218159 Enrollment ID: I20110510000489 |
| Provider Name | Theresa M Bensew |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598978827 PECOS PAC ID: 0244402634 Enrollment ID: I20111006000632 |
| Provider Name | Alisa R Hurwitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629244066 PECOS PAC ID: 0042484594 Enrollment ID: I20111117000589 |
| Provider Name | Paul K Broder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780798546 PECOS PAC ID: 6103083233 Enrollment ID: I20120201000586 |
| Provider Name | Danielle K Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386875706 PECOS PAC ID: 2567629561 Enrollment ID: I20120202000448 |
| Provider Name | Erin E Gilligan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356520589 PECOS PAC ID: 6204086507 Enrollment ID: I20121023000192 |
| Provider Name | Brian J Taracena |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730129883 PECOS PAC ID: 6709865231 Enrollment ID: I20121026000130 |
| Provider Name | Jennifer Lee Gaudreau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417245374 PECOS PAC ID: 5496788598 Enrollment ID: I20140403000121 |
| Provider Name | Richard I Carey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881820355 PECOS PAC ID: 4284772005 Enrollment ID: I20140516000805 |
| Provider Name | Richard C Tomb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902846447 PECOS PAC ID: 7618923202 Enrollment ID: I20150123000948 |
| Provider Name | Jillian Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609272764 PECOS PAC ID: 7719208107 Enrollment ID: I20150611000099 |
| Provider Name | Shannon Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093107211 PECOS PAC ID: 9436460599 Enrollment ID: I20150617000108 |
| 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 | Robert Sloane Franklin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467769786 PECOS PAC ID: 3375858459 Enrollment ID: I20150819006306 |
| Provider Name | Lori Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720331846 PECOS PAC ID: 3173748977 Enrollment ID: I20151118002869 |
| Provider Name | Thor Agustsson |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1427219948 PECOS PAC ID: 2860660453 Enrollment ID: I20151210000436 |
| Provider Name | Kate E Vaillancourt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134289788 PECOS PAC ID: 2567763741 Enrollment ID: I20151211001507 |
| Provider Name | Cheryl Withka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023233053 PECOS PAC ID: 7911208111 Enrollment ID: I20151211002068 |
| Provider Name | Maryanne F Fournier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629381579 PECOS PAC ID: 5395985956 Enrollment ID: I20160325000218 |
| Provider Name | Lori Little |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790147148 PECOS PAC ID: 1052605078 Enrollment ID: I20160812001640 |
| Provider Name | Jessica M Leonard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033666953 PECOS PAC ID: 6709174550 Enrollment ID: I20161011000139 |
| Provider Name | Elizabeth A Brenden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003938267 PECOS PAC ID: 6709031545 Enrollment ID: I20170419001832 |
| Provider Name | Marc Cortino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689041485 PECOS PAC ID: 0244597656 Enrollment ID: I20171120001382 |
| Provider Name | Erika B Ebert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598080327 PECOS PAC ID: 0345500237 Enrollment ID: I20180215000142 |
| Provider Name | Corneliu N Stanciu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902244957 PECOS PAC ID: 6103115746 Enrollment ID: I20180827000260 |
| Provider Name | Bryan Vogel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912313305 PECOS PAC ID: 8123371689 Enrollment ID: I20181030002689 |
| Provider Name | Stephanie L Desmarais |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427323153 PECOS PAC ID: 1557615523 Enrollment ID: I20181109000633 |
| Provider Name | Anita D Freeman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1952498354 PECOS PAC ID: 2466498837 Enrollment ID: I20181115000360 |
| Provider Name | Pavlina Monova |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1619208006 PECOS PAC ID: 4789712605 Enrollment ID: I20181126000447 |
| Provider Name | Caroline C Belt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447528716 PECOS PAC ID: 2466792668 Enrollment ID: I20190326002454 |
| Provider Name | Joseph Samuel Insler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861780470 PECOS PAC ID: 1658590286 Enrollment ID: I20190401001251 |
| Provider Name | Colleen D Chausse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225498900 PECOS PAC ID: 3476841792 Enrollment ID: I20190409001822 |
| Provider Name | Nancy Colburn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063487064 PECOS PAC ID: 9335192152 Enrollment ID: I20190522002559 |
| Provider Name | Amy Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194754796 PECOS PAC ID: 0042273781 Enrollment ID: I20190618000981 |
| Provider Name | Michelle E Ronayne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073883716 PECOS PAC ID: 0547596264 Enrollment ID: I20190801001474 |
| Provider Name | Chad R Saint Amant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619526423 PECOS PAC ID: 3971835703 Enrollment ID: I20191029001148 |
| Provider Name | William E Fahey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316037658 PECOS PAC ID: 0648346320 Enrollment ID: I20191203001511 |
| Provider Name | David C Dimoplon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750440921 PECOS PAC ID: 7416045786 Enrollment ID: I20200108002454 |
| Provider Name | Nikhil Teja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063866903 PECOS PAC ID: 6800224734 Enrollment ID: I20200306002344 |
| Provider Name | Ramona Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659932879 PECOS PAC ID: 3577993229 Enrollment ID: I20200420002373 |
| Provider Name | Rebecca Richards |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033666359 PECOS PAC ID: 5799063087 Enrollment ID: I20200716002147 |
| Provider Name | Donna Primera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508879800 PECOS PAC ID: 1759340284 Enrollment ID: I20221007002504 |
| Provider Name | Julia E Twaddle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629343744 PECOS PAC ID: 1759734577 Enrollment ID: I20240129002219 |
| Provider Name | Tania Osborn-fiandaca |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386071694 PECOS PAC ID: 3577916105 Enrollment ID: I20240130002253 |
| Provider Name | Marianne L Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487929253 PECOS PAC ID: 3173976727 Enrollment ID: I20240130002919 |
| Provider Name | Andrea C Rothberg |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851674063 PECOS PAC ID: 4981057460 Enrollment ID: I20240131004018 |
| Provider Name | Erika Freese Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053723056 PECOS PAC ID: 7810113503 Enrollment ID: I20240201001030 |
| Provider Name | Leanna Lynn Stockard |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225576150 PECOS PAC ID: 8325491723 Enrollment ID: I20240201003019 |
| Provider Name | Joan Staigers Haley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699876490 PECOS PAC ID: 0345683629 Enrollment ID: I20240205000972 |
| Provider Name | Rachel Mcleod |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104285477 PECOS PAC ID: 9537502661 Enrollment ID: I20240206002421 |
| Provider Name | Kevan Wesley Walker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558691105 PECOS PAC ID: 1456795533 Enrollment ID: I20240216000700 |
| Provider Name | Alexandra Crosby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306249123 PECOS PAC ID: 3779927686 Enrollment ID: I20240220000438 |
| Provider Name | Jill Waite |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992130116 PECOS PAC ID: 7810331683 Enrollment ID: I20240220002983 |
| Provider Name | Jordyn Deschene |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629782313 PECOS PAC ID: 9739523523 Enrollment ID: I20240220003758 |
| Provider Name | Amanda M Artz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427323542 PECOS PAC ID: 4385088970 Enrollment ID: I20240222002081 |
| Provider Name | Carol Ann Bates |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720173107 PECOS PAC ID: 9537503123 Enrollment ID: I20240222002157 |
| Provider Name | Kimberly M Krasowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124605480 PECOS PAC ID: 8921443235 Enrollment ID: I20240227000496 |
| Provider Name | Amanda Lena-marlow Dibiasie |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871919365 PECOS PAC ID: 7810332129 Enrollment ID: I20240227000609 |
| Provider Name | Stacey A Lanza Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083998298 PECOS PAC ID: 3971948290 Enrollment ID: I20240227001117 |
| Provider Name | Ashley Ferm |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235529553 PECOS PAC ID: 4183069412 Enrollment ID: I20240227001400 |
| Provider Name | Courtney Keefe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699266825 PECOS PAC ID: 4789029018 Enrollment ID: I20240227001497 |
| Provider Name | Nathaniel Michael Burrow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669998894 PECOS PAC ID: 5395180632 Enrollment ID: I20240227001658 |
| Provider Name | James Duffy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912919127 PECOS PAC ID: 2365887619 Enrollment ID: I20240227002182 |
| Provider Name | Ashley Mcinnis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841966850 PECOS PAC ID: 3274978432 Enrollment ID: I20240227002971 |
| Provider Name | Tammy Anne Nicholson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891088274 PECOS PAC ID: 7911342159 Enrollment ID: I20240228000956 |
| Provider Name | Tiffany Considine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649507955 PECOS PAC ID: 2466897616 Enrollment ID: I20240228001346 |
| Provider Name | Sarah Higgins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194956441 PECOS PAC ID: 5597100644 Enrollment ID: I20240228001605 |
| Provider Name | Jill Pearl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922415918 PECOS PAC ID: 9032554100 Enrollment ID: I20240228002426 |
| Provider Name | Deborah D Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245552579 PECOS PAC ID: 2668817735 Enrollment ID: I20240228002483 |
| Provider Name | Elizabeth Tamietti |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982010070 PECOS PAC ID: 5092150193 Enrollment ID: I20240228003359 |
| Provider Name | Steve Pierog |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457792756 PECOS PAC ID: 0446695548 Enrollment ID: I20240228003368 |
| Provider Name | Catherine Eleni Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003146697 PECOS PAC ID: 0244675239 Enrollment ID: I20240229002048 |
| Provider Name | Candace Ann Iannotti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275065542 PECOS PAC ID: 9133564727 Enrollment ID: I20240305003875 |
| Provider Name | Krystal N Caney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659897510 PECOS PAC ID: 9234575242 Enrollment ID: I20240313001399 |
| Provider Name | Lucille M Care |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396264818 PECOS PAC ID: 3476999392 Enrollment ID: I20240313002382 |
| Provider Name | Amy Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336483189 PECOS PAC ID: 8224264627 Enrollment ID: I20240315001029 |
The Youth Council Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Northeastern Blvd Ste 10a, Nashua, NH 03062 Phone: 603-889-1090 Fax: 603-598-1703 | |
Meghan Slaalien Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Broad St Ste 1511, Nashua, NH 03063 Phone: 603-557-5551 | |
Health & Education Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 Lake St, Nashua, NH 03060 Phone: 978-620-1773 | |
Cheryl A Carroll Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3b Taggart Dr, Nashua, NH 03060 Phone: 978-496-9276 | |
Gray Area, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 W Hollis St Ste 210, Nashua, NH 03062 Phone: 802-490-3916 | |
Family Counseling Associates Of New Hampshire Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Tara Blvd Ste 200, Nashua, NH 03062 Phone: 603-242-2296 | |
Ann M Rubinstein Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Broad St, Suite 1535, Nashua, NH 03063 Phone: 603-546-0297 |