HANOVER CENTER FOR COGNITIVE BEHAVIORAL THERAPIES, P.C. (NPI# 1801420914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801420914 |
| Entity Type | Organization |
| Organization Name | HANOVER CENTER FOR COGNITIVE BEHAVIORAL THERAPIES, P.C. |
| Practice Address |
45 Lyme Rd Ste 305a Hanover NH 03755-1219 |
| Practice Telephone | 6037556535 |
| Practice Fax Number | 6033899331 |
| Mailing Telephone | 6037556535 |
| Mailing Fax Number | 6033899331 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | DR. SEOKA SALSTROM (OWNER) |
| Authorized Official Telephone | 6037556535 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Hanover CBT | Doing Business As Name - Organization |
| Street Address |
45 LYME RD STE 305A |
| City | HANOVER |
| State | NH |
| Zip Code | 03755-1219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719150 | Eliza Grace Polli | Psychologist | 45 Lyme Rd Ste 305a, Hanover, NH 03755-1219 | 2020-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950636 | Yuriko Fujioka | Specialist/Technologist | Hb 6083 Dartmouth College Alumni Gym, Hanover, NH 03755 | 2020-10-20 |
| 1538667761 | Caleb Crowell | Specialist/Technologist | Floren Varsity House Athletic Training Room 111, Dartmouth College, Hanover, NH 03755 | 2018-01-23 |
| 1386159820 | Caitlin M Colitti | Specialist/Technologist | East Wheelock St, Alumni Gymnasium Dartmouth College, Hanover, NH 03755 | 2017-12-06 |
| 1801227566 | Rachel Johnson | Registered Nurse | 1 S Bach St, Hanover, NH 03755 | 2013-12-06 |
| 1528329703 | Martin Lubin | Family Medicine | 21 Lyme Road, Hanover, NH 03755 | 2012-06-04 |
| 1528360435 | Doris Marie Faughnan | Counselor | 50 Greensboro Road, Unit #109, Hanover, NH 03755 | 2010-11-29 |
| 1952612517 | Steven J Mann | Physical Therapist | 45 Lyme Road, Suite 101, Hanover, NH 03755 | 2010-06-29 |
| 1720109143 | Nicole R Humann | Specialist/Technologist | East Wheelock, Hb 6083, Hanover, NH 03755 | 2007-04-03 |
| 1093840951 | Tracy A Purcell | Specialist/Technologist | 1 Crosby St., Davis Varsity House, Hanover, NH 03755 | 2007-02-22 |
| 1043355696 | Jeffrey C. Frechette | Specialist/Technologist | Hb 6083, Dartmouth College, Hanover, NH 03755 | 2007-02-21 |
| Find all providers in zip 03755 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316222573 | Christopher M Spofford | Psychologist | 23 S Main St Ste 2b, Hanover, NH 03755-2075 | 2011-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972628030 | Patricia Gianotti | Psychologist | 34 Woodland Rd, North Hampton, NH 03862-2331 | 2007-03-20 |
| 1194840249 | Constance Johannessen | Psychologist | 155 Lafayette Rd, Suite 3, North Hampton, NH 03862-2464 | 2007-03-20 |
| 1063075984 | Charlotte G Mastrangelo | Psychologist | 15 Constitution Dr Fl 1, Bedford, NH 03110-6042 | 2019-04-16 |
| 1316394554 | Woodland Psychological Services Pllc | Psychologist | 34 Woodland Rd, North Hampton, NH 03862-2331 | 2016-05-18 |
| 1588943781 | Robert E Brady | Psychologist | 1 Medical Center Dr, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03756-1000 | 2011-08-05 |
| 1558667006 | Debra Anne Leclair | Psychologist | 55 S Commercial St, Manchester, NH 03101-2606 | 2011-02-01 |
| 1396993259 | Npss -neuropsychological & Psychological Services for The Seacoast, Pl | Psychologist | 31 Raynes Ave, Suite # 200, Portsmouth, NH 03801-3756 | 2008-09-04 |
| 1851509038 | Robert Peter Kritkausky | Psychologist | 6d Hills Ave, Concord, NH 03301-4803 | 2007-05-19 |
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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.