TARA MCBRIDE AFONSO


Address: 10 Ferry St Ste 313, Medoptions of New Hampshire, LLC., Concord, NH 03301-5004
Phone: 8003703651

TARA MCBRIDE AFONSO (NPI# 1558809335) 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) 1558809335
Entity Type Individual
Full Name TARA MCBRIDE AFONSO
Credential PSYD
Practice Address 10 Ferry St Ste 313
Medoptions of New Hampshire, LLC.
Concord
NH 03301-5004
Mailing Address 55 Hatchetts Hill Rd
Old Lyme
CT 06371-1534
Practice Telephone 8003703651
Practice Fax Number 8775157147
Mailing Telephone 8003703651
Mailing Fax Number 8775157147
Enumeration Date 2017-02-01
Last Update Date 2017-02-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
1386 NH Behavioral Health & Social Service Providers

Office Location

Street Address 10 FERRY ST STE 313
MEDOPTIONS OF NEW HAMPSHIRE, LLC.
City CONCORD
State NH
Zip Code 03301-5004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033753520 Kim Ann Eldredge Nurse Practitioner 10 Ferry St Ste 313, Concord, NH 03301-5004 2019-10-29
1619441946 Vidhu Vinod Menon Nurse Practitioner 10 Ferry St Ste 313, Concord, NH 03301-5004 2019-01-21

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1407210347 Sherri Jean Perry Nurse Practitioner Medoptions Behavioral Health Services, 10 Ferry Street, Suite 313, Concord, NH 03301 2016-04-06
1922474428 Optometric Associates of Nh, LLC Optometrist 273 Loudon Road, Suite 7, Concord, NH 03301 2015-08-19
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1013401595 Karen Jo Giammusso Shapiro Psychologist 59 N Branch Rd, Concord, MA 01742-3807 2018-06-19
1053664524 Elizabeth Lavenson Myers Psychologist 1157 Fair Weather Cir, Concord, CA 94518-1939 2012-10-22
1447528633 Debra Ying Fah Tong Psychologist 1868 Clayton Rd Ste 126, Concord, CA 94520-2552 2011-12-02
1013202381 Lauren J Brown Psychologist 81 Commonwealth Ave, Suite 8, Concord, MA 01742-2977 2011-06-15
1518274851 Allison C Flynn Psychologist 281 Monsen Rd, Concord, MA 01742-1941 2010-09-08
1932330073 Avninder Singh Anand Psychologist 1470 Civic Court, Suite 100, Concord, CA 94520 2009-08-06
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Competitor

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City CONCORD
Zip Code 03301

Improve Information

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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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