SCOTT M SULLIVAN-CONGDON (NPI# 1124505623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124505623 |
Entity Type | Individual |
Full Name | SCOTT M SULLIVAN-CONGDON |
Credential | PMHNP-BC |
Practice Address |
145 Hollis St Manchester NH 03101-1235 |
Practice Telephone | 6036269500 |
Mailing Telephone | 6036269500 |
Enumeration Date | 2018-07-26 |
Last Update Date | 2020-01-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
067867-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
145 HOLLIS ST |
City | MANCHESTER |
State | NH |
Zip Code | 03101-1235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083617013 | Amoskeag Health | Clinic/Center | 145 Hollis St, Manchester, NH 03101-1325 | 2005-05-23 |
1598373722 | Loredana Anghel | Counselor | 145 Hollis St, Manchester, NH 03101-1235 | 2020-07-14 |
1215566088 | Sandra Jean Bryant | Nutritionist | 145 Hollis St, Manchester, NH 03101-1235 | 2020-04-03 |
1457980559 | Lori Mattison | Counselor | 145 Hollis St, Manchester, NH 03101-1235 | 2020-04-02 |
1700438306 | Sarah Marie Gaffney | Physician Assistant | 145 Hollis St, Manchester, NH 03101-1235 | 2019-07-13 |
1295393197 | Astrid Larose | Counselor | 145 Hollis St, Manchester, NH 03101-1235 | 2019-06-05 |
1689146243 | Alison Lemire | Physician Assistant | 145 Hollis St, Manchester, NH 03101-1235 | 2018-12-20 |
1619462645 | Nina R Demarco | Counselor | 145 Hollis St, Manchester, NH 03101-1235 | 2018-06-22 |
1770076804 | Carrie Nomikos | Physician Assistant | 145 Hollis St, Manchester, NH 03101-1235 | 2018-06-13 |
1548783111 | Sunami Gurung | Nurse Practitioner | 145 Hollis St, Manchester, NH 03101-1235 | 2017-07-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003320425 | Miranda Sherburne | Occupational Therapist | 470 Pine Street, Manchester, NH 03101 | 2017-11-21 |
1396266938 | Juliette W Daniels | Social Worker | 464 Chestnut Street, Child and Family Services, Manchester, NH 03101 | 2017-07-05 |
1851820450 | Samantha Ysabelle Kattiria | Specialist/Technologist | 39 Kosciuszko Street, Apt 4, Manchester, NH 03101 | 2017-06-07 |
1598121188 | Angelique Alicia Fortin | Counselor | 77 Pearl St., Manchester, NH 03101 | 2016-01-12 |
1578946786 | Reta Goldman | Counselor | 25 Lowell St Ste 208, Manchester, NH 03101 | 2015-07-07 |
1306239207 | Myra Jean Nikitas | Dental Hygienist | 97 West Merrimack Street, Manchester, NH 03101 | 2015-03-17 |
1902234586 | Judith Patrick Ronshagen | Pharmacist | 175 Queen City Avenue, Ste 1, Manchester, NH 03101 | 2013-10-17 |
1942566336 | Elizabeth Zavagnin | Specialist | 2 Wall St Ste 200, Manchester, NH 03101 | 2012-04-10 |
1538463088 | William Gerald Mccormick | Pharmacist | 175 Queen City Ave, Manchester, NH 03101 | 2010-12-27 |
1215241799 | Melissa Ann Dinoto | Counselor | 20 Market St., Manchester, NH 03101 | 2010-07-27 |
Find all providers in zip 03101 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811535008 | Dawn of A New Day Mental Health, Pllc | Nurse Practitioner | 250 Commercial St Ste 2100, Manchester, NH 03101-1142 | 2019-12-18 |
1033757893 | Joanna Mrozek | Nurse Practitioner | 270 Oak St, Manchester, CT 06040-5563 | 2019-12-11 |
1821575929 | Maria D. Ruiz | Nurse Practitioner | 25 Middle Tpke W, Manchester, CT 06040-4045 | 2018-07-23 |
1881104826 | Progressive Psychiatric Services, Pllc | Nurse Practitioner | 771 Chestnut Street, Manchester, NH 03104-3011 | 2017-10-04 |
1689045338 | Pat Buth | Nurse Practitioner | 111 Amherst Dr, Manchester, CT 06042-8543 | 2015-10-07 |
1730589615 | Lisa Weldon | Nurse Practitioner | 771 Chestnut St, Manchester, NH 03104-3011 | 2014-08-28 |
1265598056 | Albert S Ward | Nurse Practitioner | 30 Canton St., Suite 13, Manchester, NH 03103 | 2006-12-28 |
1851472427 | Rodney C Patterson | Nurse Practitioner | 715 Big Oak Dr, Manchester, TN 37355-7808 | 2006-10-18 |
1932121340 | Barbara D. Steele | Nurse Practitioner | 913 Elm St, Suite 511, Manchester, NH 03101-2005 | 2006-07-24 |
1952359192 | Pennie Marie Kane | Nurse Practitioner | 27 Lowell St, Suite 205, Manchester, NH 03101-1646 | 2006-05-04 |
Find all providers in MANCHESTER |
City | MANCHESTER |
Zip Code | 03101 |
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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.