THE MENTAL HEALTH CTR FOR SOUTHERN NEW HAMPSHIRE (NPI# 1003914466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003914466 |
| Entity Type | Organization |
| Organization Name | THE MENTAL HEALTH CTR FOR SOUTHERN NEW HAMPSHIRE |
| Other Organization Name | CENTER FOR LIFE MANAGEMENT |
| Practice Address |
10 Tsienneto Rd Derry NH 03038 |
| Practice Telephone | 6034341577 |
| Practice Fax Number | 6034343101 |
| Mailing Telephone | 6034341577 |
| Mailing Fax Number | 6034343101 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-05-13 |
| Authorized Official Name | MR. VIC TOPO (PRESIDENT & CEO) |
| Authorized Official Telephone | 6039650722 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 81263577 | 05 |
| Other Name | Type Code |
|---|---|
| Center for Life Management | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306320999 | The Mental Health Ctr for Southern New Hampshire | Community/Behavioral Health | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-09-19 |
| Street Address |
10 TSIENNETO RD |
| City | DERRY |
| State | NH |
| Zip Code | 03038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154374452 | Heather J Souther | Counselor | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2006-05-18 |
| 1710592977 | Lamprey Health Care Inc | Physician Assistant | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2020-09-14 |
| 1548822679 | Kristen Mccrady | Licensed Practical Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2019-06-28 |
| 1023675824 | Alex Reardon | Nurse Practitioner | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2019-05-28 |
| 1245795301 | Emily Coco | Licensed Practical Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2019-02-04 |
| 1972074698 | Irina Horodincu | Licensed Practical Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-12-06 |
| 1366910754 | Carol Early | Registered Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-11-05 |
| 1083181283 | Crystal Higgins | Licensed Practical Nurse | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-10-26 |
| 1306320999 | The Mental Health Ctr for Southern New Hampshire | Community/Behavioral Health | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-09-19 |
| 1578044673 | Michele Saunders | Community Health Worker | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750922142 | Derry Surgical Center, LLC | Clinic/Center | 15 Tsienneto Road, Derry, NH 03038 | 2019-10-07 |
| 1265941769 | Shireen Kirata | Physician Assistant | Lahey Institute of Urology, Derry, 44 Birch Street, Derry, NH 03038 | 2017-09-27 |
| 1538615133 | Louise Dinsmore | Pharmacist | 48 East Broadway, Derry, NH 03038 | 2016-09-01 |
| 1295188852 | Lauren Manney | Pharmacist | 48 E. Broadway, Derry, NH 03038 | 2016-07-19 |
| 1396104857 | Simply Orthodontics, Nh, PC | Dentist | 8 Crystal Ave, Derry, NH 03038 | 2016-02-12 |
| 1659766996 | Beverly Stasia Weston | Adult Companion | 60 Frost Rd, Derry, NH 03038 | 2015-04-03 |
| 1639580038 | Tricia Lane | Nurse Practitioner | 1 Parkland Drive, Derry, NH 03038 | 2014-05-20 |
| 1841620382 | Rothenwitz Dental Partnership | Dentist | 19d Manchester Rd, Suite 3, Derry, NH 03038 | 2013-11-20 |
| 1184934978 | Colleen Summers | Nurse Practitioner | 6 Tsiennto Road, Suite 101ll, Derry, NH 03038 | 2010-10-14 |
| 1609016922 | Bethany Lynne Layne | Physical Therapist | 8 White Oak Lane, Derry, NH 03038 | 2009-02-26 |
| Find all providers in zip 03038 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598220410 | Tjd Counseling, Inc. | Clinic/Center | 4 Birch St Ste 5, Derry, NH 03038-2136 | 2019-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696667 | Just for You Counseling | Clinic/Center | 130 Main St Ste 201d, Salem, NH 03079-3173 | 2020-10-14 |
| 1437763273 | Reflective Mental Health Pllc | Clinic/Center | 497 Hooksett Rd Ste 238, Manchester, NH 03104-2632 | 2020-08-31 |
| 1124636840 | Swallowtail Counseling, Pllc | Clinic/Center | 41 Washington St Apt 1, Exeter, NH 03833-2044 | 2020-07-20 |
| 1568088094 | Growing Minds Psychological Services, Pllc | Clinic/Center | 57 Center Rd, Canterbury, NH 03224-2401 | 2020-06-20 |
| 1619593563 | Joan Breault Counseling Services, LLC | Clinic/Center | 2 Washington St Ste 301, Dover, NH 03820-5023 | 2020-06-17 |
| 1154955508 | Healing Roots LLC | Clinic/Center | 199 Nh 101 Unit 7a, Amherst, NH 03031-1735 | 2020-02-25 |
| 1649803230 | Mindful Solutions LLC | Clinic/Center | 408 Lafayette Rd, Hampton, NH 03842-2222 | 2020-02-21 |
| 1013481910 | Time Well Spent Counseling LLC | Clinic/Center | 3 Overlook Dr Ste C4, Amherst, NH 03031-2830 | 2019-01-14 |
| 1497269740 | Perinatal and Women's Mental Health Counseling Pllc | Clinic/Center | 47 Enterprise Dr, Windham, NH 03087-2032 | 2017-11-24 |
| 1629581137 | Linda A Guttman Psy D Pllc | Clinic/Center | 13 Jenkins Court, Suite 230a, Durham, NH 03824-2917 | 2017-11-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.