CENTER FOR EATING DISORDERS MANAGEMENT INC NPI 1790706059

NPI Information

NPI: 1790706059
Provider Name: CENTER FOR EATING DISORDERS MANAGEMENT INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 30D2207455

Address:
360 ROUTE 101 STE 10
BEDFORD, NH
ZIP 03110
Phone: (603) 472-2846
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CENTER FOR EATING DISORDERS MANAGEMENT INC is a mental health (including community mental health center) clinic center in Bedford, NH. CENTER FOR EATING DISORDERS MANAGEMENT INC NPI is 1790706059. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

360 ROUTE 101 STE 10
BEDFORD, NH
ZIP 03110-031
Phone: (603) 472-2846
Fax: (603) 472-2872

The provider's authorized official is Kristen Scheel .
The authorized official title is Director, Treasurer, Secretary and has the following contact phone number (252) 733-7374.

The CLIA number assigned to this NPI record is 30D2207455 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 3/23/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	890	NEW HAMPSHIRE	No
2	1041C0700X	Social Worker	Clinical	720	NEW HAMPSHIRE	No
3	1041C0700X	Social Worker	Clinical	1122	NEW HAMPSHIRE	No
4	261QM0850X	Clinic/Center	Adult Mental Health			No
5	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
6	363LF0000X	Nurse Practitioner	Family	068326-23	NEW HAMPSHIRE	No
7	363LF0000X	Nurse Practitioner	Family	015394-23	NEW HAMPSHIRE	No
8	363LF0000X	Nurse Practitioner	Family	057948-23	NEW HAMPSHIRE	No
9	363LF0000X	Nurse Practitioner	Family	045324-23	NEW HAMPSHIRE	No
10	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S100731634	OTHER	MASSACHUSETTS	MEDICARE PTAN
2	3075544	MEDICAID	NEW 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

NPI Synchronization or Removal

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