MS. TRICIA POBLETE MENDOZA (NPI# 1568648897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568648897 |
| Entity Type | Individual |
| Full Name | MS. TRICIA POBLETE MENDOZA |
| Credential | M.D. |
| Practice Address |
11 Whitehall Road Rochester NH 03867-3297 |
| Mailing Address |
20 Ladd Street Suite 404 Portsmouth NH 03801 |
| Practice Telephone | 6033358871 |
| Practice Fax Number | 6033358199 |
| Mailing Telephone | 6032052953 |
| Mailing Fax Number | 6034336341 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2017-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
246874 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
14388 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | NH LICENSE | 14388 | 01 |
| NY | 03061869 | 05 |
| Street Address |
11 WHITEHALL ROAD |
| City | ROCHESTER |
| State | NH |
| Zip Code | 03867-3297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669567871 | Maureen Walden | Nurse Practitioner | 11 Whitehall Road, Rochester, NH 03867-3297 | 2006-10-04 |
| 1013181700 | Ryan R Joyce | Anesthesiology | 11 Whitehall Road, Frisbie Memorial Hospital, Rochester, NH 03867 | 2008-04-15 |
| 1871689828 | Sara J. Stacey | Family Medicine | 11 Whitehall Road, Rochester, NH 03867-3226 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402862 | Allergy and Asthma Center | Allergy & Immunology | 161 Rochester Hill Road, Rochester, NH 03867 | 2020-09-16 |
| 1245874908 | Alicia Anne Magoon | Occupational Therapist | 105 Eastern Avenue, Rochester, NH 03867 | 2019-11-05 |
| 1124531801 | Amelia K Bailey | Behavioral Analyst | 36 Industrial Way Ste 10, Rochester, NH 03867 | 2017-11-16 |
| 1285183988 | Till Inc | Community/Behavioral Health | 20 Walnut Street Apt 2, Woburn, MA 03867 | 2016-09-23 |
| 1174070080 | Hope On Haven Hill, Inc | Substance Abuse Rehabilitation Facility | 326 Rochester Hill Rd, Rochester, NH 03867 | 2016-09-08 |
| 1710359468 | Silke Psula | Social Worker | 25 Old Dover Rd, Community Partners, Rochester, NH 03867 | 2015-10-21 |
| 1396129672 | Skyhaven Surgery Center LLC | Clinic/Center | 13 Healthcare Drive, Rochester, NH 03867 | 2015-07-16 |
| 1659788214 | Elizabeth Mary Solof | Case Management | 1 Old Dover Road, Suite 7, Rochester, NH 03867 | 2014-07-16 |
| 1447676754 | Granite State Express Care LLC | Clinic/Center | 120 Washington Street, Rochester, NH 03867 | 2014-03-11 |
| 1265630412 | Deborah Jo Emery | Counselor | One Old Dover Road, Suite #6, Rochester, NH 03867 | 2007-07-10 |
| Find all providers in zip 03867 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457912065 | Benjamin Fernandes | Psychiatry & Neurology | 11 Whitehall Rd, Rochester, NH 03867-3297 | 2019-06-25 |
| 1952560690 | Namratha Reddy Boda | Psychiatry & Neurology | 11 Whitehall Rd, Rochester, NH 03867-3226 | 2008-06-06 |
| 1477757607 | Paulo R Shiroma | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-06-12 |
| 1285716837 | Irene Patricia Dadson | Psychiatry & Neurology | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2006-10-20 |
| 1114008976 | Susan Reid | Psychiatry & Neurology | 11 Whitehall Rd, Rochester, NH 03867-3226 | 2006-10-18 |
| 1639121700 | Kathryn D Lombardo | Psychiatry & Neurology | 210 9th St Se, Rochester, MN 55904-6425 | 2006-05-17 |
| 1538121256 | Roopa Challapalli | Psychiatry & Neurology | 1425 Portland Ave, Rochester, NY 14621-3001 | 2006-04-06 |
| 1962464511 | Srikrishna, Inc. | Psychiatry & Neurology | 1425 Portland Ave, Rochester, NY 14621-3001 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801226071 | Further Care P A | Psychiatry & Neurology | 330 Borthwick Ave Ste 111, Portsmouth, NH 03801-7110 | 2013-11-25 |
| 1689911059 | John William Knesevich | Psychiatry & Neurology | 27 Farley Rd, Hollis, NH 03049-5916 | 2013-01-05 |
| 1669737805 | Dartmouth Medical School | Psychiatry & Neurology | 33 Rip Rd, Hanover, NH 03755-1616 | 2012-07-12 |
| 1871757666 | Salud Poblete Mendoza | Psychiatry & Neurology | 74 Pear Tree Ln, Newmarket, NH 03857 | 2008-07-11 |
| 1902988124 | Sandeep Sobti | Psychiatry & Neurology | 84 Central Ave, Dover, NH 03820-4070 | 2006-10-19 |
| 1215425269 | Thrive Psychiatry Pllc | Psychiatry & Neurology | 74 Pear Tree Ln, Newmarket, NH 03857-1846 | 2018-04-25 |
| 1770768269 | Memcare, LLC | Psychiatry & Neurology | 84 Central Ave, Dover, NH 03820-4070 | 2008-01-03 |
| 1194893495 | Thomas Elliot Oxman | Psychiatry & Neurology | 1 Medical Center Dr, Dhmc, Department of Psychiatry, Lebanon, NH 03756-1000 | 2006-12-04 |
| 1952479271 | Robert B Santulli | Psychiatry & Neurology | 1 Medical Center Drive, Lebanon, NH 03756-0001 | 2006-12-04 |
| 1518078476 | Andrew Chuing Liang Chi | Psychiatry & Neurology | 1 Medical Center Dr, Dept. of Psychiatry, Lebanon, NH 03756-1000 | 2006-08-31 |
| 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.