PROGRESSIVE PSYCHIATRIC SERVICES, PLLC (NPI# 1881104826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881104826 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE PSYCHIATRIC SERVICES, PLLC |
| Practice Address |
771 Chestnut Street Manchester NH 03104-3011 |
| Practice Telephone | 6038365584 |
| Practice Fax Number | 6039357615 |
| Mailing Telephone | 6038365584 |
| Mailing Fax Number | 6039357615 |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | LISA WELDON (OWNER/PROVIDER) |
| Authorized Official Telephone | 6038365584 |
| Authorized Official Credential | PMH-NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
064788-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
771 CHESTNUT STREET |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535008 | Dawn of A New Day Mental Health, Pllc | Nurse Practitioner | 250 Commercial St Ste 2100, Manchester, NH 03101-1142 | 2019-12-18 |
| 1033757893 | Joanna Mrozek | Nurse Practitioner | 270 Oak St, Manchester, CT 06040-5563 | 2019-12-11 |
| 1821575929 | Maria D. Ruiz | Nurse Practitioner | 25 Middle Tpke W, Manchester, CT 06040-4045 | 2018-07-23 |
| 1689045338 | Pat Buth | Nurse Practitioner | 111 Amherst Dr, Manchester, CT 06042-8543 | 2015-10-07 |
| 1730589615 | Lisa Weldon | Nurse Practitioner | 771 Chestnut St, Manchester, NH 03104-3011 | 2014-08-28 |
| 1265598056 | Albert S Ward | Nurse Practitioner | 30 Canton St., Suite 13, Manchester, NH 03103 | 2006-12-28 |
| 1851472427 | Rodney C Patterson | Nurse Practitioner | 715 Big Oak Dr, Manchester, TN 37355-7808 | 2006-10-18 |
| 1932121340 | Barbara D. Steele | Nurse Practitioner | 913 Elm St, Suite 511, Manchester, NH 03101-2005 | 2006-07-24 |
| 1952359192 | Pennie Marie Kane | Nurse Practitioner | 27 Lowell St, Suite 205, Manchester, NH 03101-1646 | 2006-05-04 |
| 1144289463 | Jodi A. Carner-higgins | Nurse Practitioner | 445 Cypress Street, Suite 8, Manchester Counseling Services, Manchester, NH 03103 | 2006-03-23 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
Please comment or provide details below to improve the information on PROGRESSIVE PSYCHIATRIC SERVICES, PLLC.
| 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.