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ELLIOT PROFESSIONAL SERVICES NPI 1669431466


NPI Information

NPI: 1669431466
Provider Name: ELLIOT PROFESSIONAL SERVICES

Other Name: ELLIOT BEHAVIORAL HEALTH SERVICES

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 30D2174195

Address:
445 CYPRESS ST STE 8
ELLIOT BEHAVIORAL HEALTH SERVICES
MANCHESTER, NH
ZIP 03103
Phone: (603) 668-4079
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ELLIOT PROFESSIONAL SERVICES is a psychiatry psychiatry neurology in Manchester, NH. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. ELLIOT PROFESSIONAL SERVICES NPI is 1669431466. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Elliot Behavioral Health Services.

The provider's business location address is:

445 CYPRESS ST STE 8
ELLIOT BEHAVIORAL HEALTH SERVICES
MANCHESTER, NH
ZIP 03103-600
Phone: (603) 668-4079
Fax: (603) 663-8605

The provider's authorized official is Richard P. Herman .
The authorized official title is Director Of Operations & Finance and has the following contact phone number (603) 663-4904.

The CLIA number assigned to this NPI record is 30D2174195 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 6/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
22084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CK3360OTHERNEW HAMPSHIRERR MEDICARE GRP PIN
2RE6661MEDICARE PINNEW HAMPSHIRE
330212259MEDICAIDNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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