Active NPI
Samantha Gnanasegaram, M.D.
- Psychiatry Physician
- Concord, NH
National Provider Identifier
1023440252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 18110
- Practice address
- 36 Clinton St
Concord, NH 03301-2359 - Phone
- (603) 271-5485
- NPI assigned
- Jul 30, 2013
- Last updated
- Jul 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 18110 | NH | Primary |
Addresses
Primary practice location
36 Clinton St
Concord, NH 03301-2359
Mailing address
36 Clinton St
Concord, NH 03301-2359
Phone (603) 271-5485
Other practice location 1
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 744-1406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18110 | NH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New Hampshire | Current | Accepting new patients | |
| State of New Hampshire | Current | Accepting new patients |
Locations
36 Clinton St
Concord, NH 03301
Phone (603) 271-5075
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1023440252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 CLINTON ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012359",
"telephone_number": "603-271-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 CLINTON ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012359",
"telephone_number": "603-271-5485"
}
],
"practiceLocations": [
{
"address_1": "2100 Stantonsburg Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278342818",
"country_code": "US",
"telephone_number": "252-744-1406",
"fax_number": "252-744-4243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GNANASEGARAM",
"first_name": "SAMANTHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-30",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NH",
"license": "18110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.