Active NPI
Vincent Mario Pignatiello II, PSYD
- Clinical Psychologist
- Keene, NH
National Provider Identifier
1043695307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1341
- Practice address
- 191 Washington St
Keene, NH 03431-3154 - Phone
- (802) 266-0603
- Fax
- (833) 262-3712
- NPI assigned
- Jul 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1341 | NH | Primary |
Addresses
Primary practice location
191 Washington St
Keene, NH 03431-3154
Mailing address
191 Washington St
Keene, NH 03431-3154
Phone (802) 266-0603
Other practice location 1
40 Avon St
Keene, NH 03431-3516
Phone (802) 266-0603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3101924 | Medicaid | NH |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151110000028 | NH | Practitioner - Clinical Psychologist | 9830409531 | Practice locations: Keene, NH |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
191 Washington St
Keene, NH 03431-3154
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1341 | NH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monadnock Family Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Peterborough, NH
- NPI 1366592024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733616000000",
"number": "1043695307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 WASHINGTON ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034313154",
"telephone_number": "802-266-0603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 WASHINGTON ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034313154",
"telephone_number": "802-266-0603",
"fax_number": "833-262-3712"
}
],
"practiceLocations": [
{
"address_1": "40 Avon St",
"address_purpose": "LOCATION",
"city": "Keene",
"state": "NH",
"postal_code": "034313516",
"country_code": "US",
"telephone_number": "802-266-0603",
"fax_number": "833-262-3712",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIGNATIELLO",
"first_name": "VINCENT",
"middle_name": "MARIO",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-28",
"last_updated": "2024-12-08",
"certification_date": "2024-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NH",
"license": "1341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3101924",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2024; 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.
- 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.