ROSS L GOURVITZ (NPI# 1033247226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033247226 |
| Entity Type | Individual |
| Full Name | ROSS L GOURVITZ |
| Credential | PH.D. |
| Practice Address |
40 S River Rd Unit 33 Bedford NH 03110-6721 |
| Practice Telephone | 6036146016 |
| Mailing Telephone | 6036146016 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 1298 | NH | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | 68 018046 | NY | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
1298 | NH | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
68 018046 | NY | Behavioral Health & Social Service Providers |
| Street Address |
40 S RIVER RD UNIT 33 |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396799169 | Lisa M Williams | Registered Nurse | 40 S River Rd Unit 33, Bedford, NH 03110-6721 | 2006-05-19 |
| 1447885777 | Lifestages Family Neurohealth LLC | Psychologist | 40 S River Rd Unit 33, Bedford, NH 03110-6721 | 2020-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265527915 | Cognitive Solutions, Pa | Clinical Neuropsychologist | 1305 Airport Freeway, Ste. 205, Bedford, TX 76021 | 2006-10-04 |
| 1265913503 | Sara Sullivan | Clinical Neuropsychologist | 200 Springs Rd, Bedford, MA 01730-1114 | 2018-08-24 |
| 1083990147 | Meghan B Mitchell | Clinical Neuropsychologist | 200 Springs Rd, 182b, Bedford, MA 01730-1114 | 2011-11-02 |
| 1396943163 | Lee W Ashendorf | Clinical Neuropsychologist | 200 Springs Rd, 116b, Bedford, MA 01730-1114 | 2007-07-03 |
| 1750476495 | Andrew W Houtz | Clinical Neuropsychologist | 1305 Airport Fwy Ste 205, Bedford, TX 76021-6606 | 2006-10-04 |
| 1902863616 | Charles Edward Drebing | Clinical Neuropsychologist | 200 Springs Rd, Psychology Service, Bedford, MA 01730-1114 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831500511 | Matthew Holcomb | Clinical Neuropsychologist | 335 Bog Rd, Enfield, NH 03748-4103 | 2014-05-15 |
| 1407133226 | Ekaterina Tolstikova | Clinical Neuropsychologist | 150 Myrtle Street, Manchester, NH 03104-6025 | 2011-11-08 |
| 1568613073 | Peter Keith Isquith | Clinical Neuropsychologist | 367 Route 120 Unit B1, Hanover Road Professional Center, Lebanon, NH 03766 | 2008-10-02 |
| 1841244522 | William Thomas Mautz | Clinical Neuropsychologist | 20 Ladd St, 4th Floor, Portsmouth, NH 03801-4089 | 2006-05-19 |
| 1730162843 | William J. Jamieson | Clinical Neuropsychologist | 61 North St, Manchester, NH 03104-3029 | 2005-11-22 |
| 1326035734 | James Beauregard | Clinical Neuropsychologist | 138 Webster St, Manchester, NH 03104-2512 | 2005-09-30 |
| 1003816992 | Douglas F. Watt | Clinical Neuropsychologist | 24 Charlotte Ave, Nashua, NH 03064-1551 | 2005-07-21 |
| 1700881463 | John James Randolph | Clinical Neuropsychologist | 20 W Park St, Ste 215, Lebanon, NH 03766-1378 | 2005-06-17 |
| 1821611401 | Cierra Keith | Clinical Neuropsychologist | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-05-18 |
| 1467801811 | Jessica Y. Rhee | Clinical Neuropsychologist | 40 Buttrick Rd, Londonderry, NH 03053 | 2016-06-07 |
| 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.