PINE PSYCHIATRY NPI 1922716596

NPI Information

  • NPI: 1922716596
  • Provider Name: PINE PSYCHIATRY
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 2 S PARK ST
    LEBANON, NH
    ZIP 03766
  • Phone: (603) 865-7157

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NPI Details

PINE PSYCHIATRY is a psychiatric/mental health nurse practitioner in Lebanon, NH. PINE PSYCHIATRY NPI is 1922716596. The provider is registered as an organization entity type.

The provider's business location address is:

2 S PARK ST
LEBANON, NH
ZIP 03766-384
Phone: (603) 865-7157

The provider's authorized official is Timothy Bailey .
The authorized official title is Owner and has the following contact phone number (603) 865-7157.

The enumeration date for this NPI number is 11/11/2022 and was last updated on 9/13/2023.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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