Provider Type Icon

GREAT BAY SERVICES NPI 1427417104


NPI Information

NPI: 1427417104
Provider Name: GREAT BAY SERVICES
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
23 CATARACT AVE
DOVER, NH
ZIP 03820
Phone: (603) 842-5344
Get Directions

GREAT BAY SERVICES is a developmental disabilities clinic center in Dover, NH. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). GREAT BAY SERVICES NPI is 1427417104. The provider is registered as an organization entity type.

The provider's business location address is:

23 CATARACT AVE
DOVER, NH
ZIP 03820-908
Phone: (603) 842-5344
Fax: (603) 343-4465

The provider's authorized official is Pamela Lowy Layne .
The authorized official title is Executive Director and has the following contact phone number (617) 435-4365.

The enumeration date for this NPI number is 2/23/2016 and was last updated on 6/11/2020.


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
1315P00000XIntermediate Care Facility, Mentally RetardedNo
2261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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
11780827881MEDICAIDNEW HAMPSHIRE
21952796864MEDICAIDMAINE
31245626316MEDICAIDNEW 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.