NPIMap

Organization Active NPI

Seacoast Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portsmouth, NH
National Provider Identifier
1013092857
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SEACOAST MENTAL HEALTH CENTER, INC.
Practice address
1145 Sagamore Ave
Portsmouth, NH 03801-5585
Phone
(603) 431-6703
Fax
(603) 433-5078
NPI assigned
Oct 26, 2006
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Geraldine Couture
Title
Executive Director
Phone
(603) 431-6703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1145 Sagamore Ave
Portsmouth, NH 03801-5585

Mailing address

1145 Sagamore Ave
Portsmouth, NH 03801-5585
Phone (603) 431-6703

Other identifiers 2

IdentifierTypeStateIssuer
7706655Y0NH01OtherNHBHN NUMBER
99003227MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041019000285 NH Part B Supplier - Clinic/Group Practice 0749240208 Receives reassigned benefits from 66 practitioners
Practice locations: Exeter, NH; Portsmouth, NH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D2325345Seacoast Mental Health Center1145 Sagamore Ave, Portsmouth, NH 03801Certificate of waiverJun 10, 2027

National Provider Directory

National Provider Directory

Locations

1145 Sagamore Ave
Portsmouth, NH 03801
Phone (603) 431-6703

Practitioners & affiliated clinicians

Practitioners 516

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 516

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1013092857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 SAGAMORE AVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015585",
            "telephone_number": "603-431-6703",
            "fax_number": "603-433-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 SAGAMORE AVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015585",
            "telephone_number": "603-431-6703",
            "fax_number": "603-433-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACOAST MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "COUTURE",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-431-6703",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHN NUMBER",
            "identifier": "7706655Y0NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99003227",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.