KEY AUTISM SERVICES NH LLC (NPI# 1649783085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649783085 |
Entity Type | Organization |
Organization Name | KEY AUTISM SERVICES NH LLC |
Practice Address |
15 Constitution Dr Fl 1 Bedford NH 03110-6042 |
Mailing Address |
672 Dogwood Ave Ste 138 Franklin Square NY 11010-3247 |
Practice Telephone | 8883294535 |
Enumeration Date | 2017-11-07 |
Last Update Date | 2017-11-07 |
Authorized Official Name | MARK HARPER (DIRECTOR OF OPERATIONS) |
Authorized Official Telephone | 8883294535 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
15 CONSTITUTION DR FL 1 |
City | BEDFORD |
State | NH |
Zip Code | 03110-6042 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710105556 | Heather Jean O'regan | Physical Therapist | 15 Constitution Dr Fl 1, Bedford, NH 03110 | 2007-04-24 |
1689224065 | Hannah Marie Gilraine-healey | Behavioral Analyst | 15 Constitution Dr Fl 1, Bedford, NH 03110-6042 | 2019-09-17 |
1053961086 | Michelle Mccrum | Behavioral Analyst | 15 Constitution Dr Fl 1, Bedford, NH 03110-6042 | 2019-09-11 |
1902459050 | Northern Healthcare LLC | Durable Medical Equipment & Medical Supplies | 15 Constitution Dr Fl 1, Bedford, NH 03110-6042 | 2019-07-18 |
1790341022 | Sarah Elizabeth Gabert | Behavioral Analyst | 15 Constitution Dr Fl 1, Bedford, NH 03110-6042 | 2019-05-13 |
1063075984 | Charlotte G Mastrangelo | Psychologist | 15 Constitution Dr Fl 1, Bedford, NH 03110-6042 | 2019-04-16 |
1235601089 | Lakisha Regina Davison | Behavioral Analyst | 15 Constitution Dr Fl 1, Bedford, NH 03110-6042 | 2018-12-18 |
1215411798 | Marissa Busby | Occupational Therapist | 15 Constitution Dr Fl 1, Bedford, NH 03110-6042 | 2018-09-20 |
1093293235 | Aubrey Holden | Occupational Therapist | 15 Constitution Dr Fl 1, Bedford, NH 03110-6042 | 2018-07-31 |
1568951655 | Thomas Dube | Physical Therapist | 15 Constitution Dr Fl 1, Bedford, NH 03110-6042 | 2018-05-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
Find all providers in zip 03110 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831759117 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 3639 Business 220, Bedford, PA 15522-1122 | 2019-06-18 |
1740847441 | Donald Lee Lykes | Community/Behavioral Health | 314 Union St, Bedford, OH 44146-4569 | 2019-05-29 |
1679083596 | Family Preservation Services, Inc | Community/Behavioral Health | 311 S Bridge St, Bedford, VA 24523-2705 | 2017-10-05 |
1255710547 | Family Preservation Services, Inc | Community/Behavioral Health | 1059 Turning Point Road, Bedford, VA 24523 | 2015-05-20 |
1003210162 | Janebogurskypllc | Community/Behavioral Health | 128 S River Rd, Bedford, NH 03110-6720 | 2014-10-18 |
1194147397 | Family Preservation Services, Inc | Community/Behavioral Health | 403 Otey St, Bedford, VA 24523-2800 | 2014-01-08 |
1427355304 | Jl Support Services, LLC | Community/Behavioral Health | 1907 Lazenbury Rd, Bedford, VA 24523-6224 | 2011-02-11 |
1659543668 | Alternative Community Resource Program Inc | Community/Behavioral Health | 3759 Business Route 220, Bedford, PA 15522 | 2008-03-31 |
1538370614 | Nulton Diagnostic and Treatment Center | Community/Behavioral Health | 608 East Pitt Street, Bedford, PA 15522 | 2007-05-24 |
1922136944 | Family Preservation Services, Inc | Community/Behavioral Health | 807 College St, Bedford, VA 24523-1933 | 2007-03-01 |
Find all providers in BEDFORD |
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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.