JAMES BEAUREGARD


Address: 138 Webster St, Manchester, NH 03104-2512
Phone: 6036455977

JAMES BEAUREGARD (NPI# 1326035734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326035734
Entity Type Individual
Full Name JAMES BEAUREGARD
Credential PHD
Practice Address 138 Webster St
Manchester
NH 03104-2512
Mailing Address Po Box 3300
Manchester
NH 03105-3300
Practice Telephone 6036455977
Practice Fax Number 6036455980
Mailing Telephone 6036455977
Mailing Fax Number 6036455980
Enumeration Date 2005-09-30
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103G00000X Clinical Neuropsychologist 6782 MA Behavioral Health & Social Service Providers
Y 103G00000X Clinical Neuropsychologist 785 NH Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NH 30010726 05
NH ANTHEM 060084540NH01 01

Office Location

Street Address 138 WEBSTER ST
City MANCHESTER
State NH
Zip Code 03104-2512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952801318 Maryann Tuttobene Social Worker 138 Webster St, Manchester, NH 03104-2512 2018-02-12
1598217564 Prisca Zikuce Langa Nurse Practitioner 138 Webster St, Manchester, NH 03104 2016-10-26
1043674054 Michael Spatcher Psychiatry & Neurology 138 Webster St, Manchester, NH 03104-2512 2016-04-06
1497138739 Everline Osanya Nurse Practitioner 138 Webster St, Manchester, NH 03104-2512 2015-07-06
1467862086 Cheryl Seavey Social Worker 138 Webster St, Manchester, NH 03104-2512 2014-05-05
1093154015 Bryan Fisher Nurse Practitioner 138 Webster St, Manchester, NH 03104-2512 2013-06-24
1609140086 Catherine D. Daniels Nurse Practitioner 138 Webster St, Manchester, NH 03104-2512 2012-03-01
1417276130 Erin M Mccarthy Nurse Practitioner 138 Webster St, Senior Health Primary Care, Manchester, NH 03104-2512 2010-05-20
1821326364 Sue Ellen Duffy Social Worker 138 Webster St, Manchester, NH 03104-2512 2009-11-20
1073745899 Meagan Etchells Lentz Clinical Neuropsychologist 138 Webster St, Manchester, NH 03104-2512 2009-08-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730675562 Hannah E Boutselis Nurse Practitioner 1750 Elm St., Suite 201a, Manchester, NH 03104 2018-07-04
1366948770 Families In Transition Counselor 15 Brook St, Manchester, NH 03104 2018-04-04
1528586872 Nicole Mitchell Physical Therapy Assistant 235 Myrtle St., Manchester, NH 03104 2017-09-07
1851819270 Community House Calls LLC Contractor 497 Hooksett Road, 232, Manchester, NH 03104 2017-09-06
1407207533 Brianna Cassidy Specialist/Technologist 62 Jonathan Ln, Manchester, NH 03104 2016-06-30
1477926871 Anthony Macri Skilled Nursing Facility 524 Blevens Dr., Manchester, NH 03104 2015-11-06
1225412935 Families In Transition Counselor 136 Lowell St, Manchester, NH 03104 2015-07-13
1386036622 Phoenix Rising Counseling Services, LLC Counselor 114 Bay Street, Suite A, Manchester, NH 03104 2015-02-24
1366795767 Alicia M. Kleczkowski Nurse Practitioner 57 Webster St., Manchester, NH 03104 2012-10-23
1356615710 Laurie Lagasse Physical Therapy Assistant 44 West Webster St, Manchester, NH 03104 2012-03-02
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407133226 Ekaterina Tolstikova Clinical Neuropsychologist 150 Myrtle Street, Manchester, NH 03104-6025 2011-11-08
1730162843 William J. Jamieson Clinical Neuropsychologist 61 North St, Manchester, NH 03104-3029 2005-11-22
1073745899 Meagan Etchells Lentz Clinical Neuropsychologist 138 Webster St, Manchester, NH 03104-2512 2009-08-12
1184893299 Susan E Mclaughlin-beltz Clinical Neuropsychologist 77 Pearl St, Manchester, NH 03101-1464 2008-02-22
1902893761 Debbie J Javorsky Clinical Neuropsychologist 138 Webster St, Manchester, NH 03104-2512 2005-10-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831500511 Matthew Holcomb Clinical Neuropsychologist 335 Bog Rd, Enfield, NH 03748-4103 2014-05-15
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
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
1699142794 Catherine Lorraine Williams Clinical Neuropsychologist 1 Medical Center Dr, Lebanon, NH 03756-1000 2015-08-25
1164730420 Susan R Mcgurk Clinical Neuropsychologist 105 Pleasant St, Dartmouth Psychiatric Research Center, Main Building, Concord, NH 03301-3852 2010-09-21
1104059237 Orion Diagnostics Incorporated Clinical Neuropsychologist 138 Elm Street, Newport, NH 03773-0025 2009-08-24
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Competitor

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City MANCHESTER
Zip Code 03104

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Dataset Information

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.

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