AVERY PSYCHOLOGICAL SERVICES PA (NPI# 1417367426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417367426 |
| Entity Type | Organization |
| Organization Name | AVERY PSYCHOLOGICAL SERVICES PA |
| Practice Address |
27 Bagdad Rd Durham NH 03824-2201 |
| Practice Telephone | 6038688100 |
| Practice Fax Number | 6038681330 |
| Mailing Telephone | 6038688100 |
| Mailing Fax Number | 6038681330 |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2015-01-12 |
| Authorized Official Name | DR. ANNE CONVERSE AVERY (PRESIDENT/OWNER) |
| Authorized Official Telephone | 6038688100 |
| Authorized Official Credential | EDD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
702 | NH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30424491 | 05 | |
| MA | 30010879 | 05 |
| Street Address |
27 BAGDAD RD |
| City | DURHAM |
| State | NH |
| Zip Code | 03824-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560603 | Anne Converse Avery | Psychologist | 27 Bagdad Rd, Durham, NH 03824-2201 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699170191 | Allegiant Physical Therapy LLC | Physical Therapist | 7b Mill Road, Durahm, NH 03824 | 2014-10-27 |
| 1639443872 | Joan Hastings Glutting | Psychologist | 8 Palmer Drive, Durham, NH 03824 | 2012-03-06 |
| 1851598197 | Kate Elizabeth Stimmell | Occupational Therapist | 312 Morrill Hall, 180 Main Street, University of New Hampshire, Durham, NH 03824 | 2007-06-29 |
| 1366659443 | C. Patricia Hanley | Psychologist | 13 Jenkins Ct #230 A, Durham, NH 03824 | 2007-05-17 |
| 1245445642 | Oyster River Cooperative School District | Local Education Agency (LEA) | 36 Coe Drive, Durham, NH 03824 | 2007-05-11 |
| 1477765956 | Randal George Heller | Pharmacist | 170 Tolend Rd., Barrington, NH 03824 | 2007-05-04 |
| 1073652228 | Carollyn Federico | Social Worker | 20 Madbury Road, Durham, NH 03824 | 2007-02-05 |
| 1568513976 | Suellen O Drake | Nurse Practitioner | 13 Jenkins Ct Ste 247, Durham, NH 03824 | 2007-01-13 |
| 1265531537 | Maxi Drug North Inc | Durable Medical Equipment & Medical Supplies | 5 Mill Road, Unit G, Durham, NH 03824 | 2006-09-22 |
| 1003911082 | Wesley A Merritt | Chiropractor | 13 Jenkins Ct, Durham, NH 03824 | 2006-09-14 |
| Find all providers in zip 03824 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326299546 | Gregory Andrew Welikson | Psychologist | 3326 Durham Chapel Hill Blvd Ste 230, Durham, NC 27707-6239 | 2008-10-07 |
| 1588644439 | Jeanine Driscoll | Psychologist | 1502 W Nc Highway 54, #406, Durham, NC 27707-5571 | 2006-01-18 |
| 1578560603 | Anne Converse Avery | Psychologist | 27 Bagdad Rd, Durham, NH 03824-2201 | 2005-07-05 |
| 1679196869 | Ashley Nicole Hill | Psychologist | 2213 Elba St, Durham, NC 27705-3934 | 2020-05-21 |
| 1174096804 | Marvice D. Marcus | Psychologist | 2009 Chapel Hill Rd, Durham, NC 27707-1109 | 2019-01-04 |
| 1982171658 | Nahal C Kaivan Ph D Pllc | Psychologist | 911 Broad St, Durham, NC 27705-4141 | 2018-10-31 |
| 1538634480 | Michael Pasquale Iezzi | Psychologist | 1018 Broad St, Durham, NC 27705-4144 | 2018-10-08 |
| 1770035313 | George Nichols | Psychologist | 3326 Durham Chapel Hill Blvd Ste 230, Durham, NC 27707-6239 | 2016-10-31 |
| 1194272815 | Peter John Adams | Psychologist | 5850 Fayetteville Rd, Suite 211, Durham, NC 27713-6289 | 2016-09-10 |
| 1770957342 | Shelby Johnson | Psychologist | 1010 Lamond Ave, Durham, NC 27701-2021 | 2015-11-19 |
| Find all providers in DURHAM | ||||
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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.