Organization Active NPI

Psychological Resource Consultants

  • Specialist
  • Litchfield, NH
National Provider Identifier
1053572917
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PSYCHOLOGICAL RESOURCE CONSULTANTS
Practice address
144 Pinecrest Rd
Litchfield, NH 03052-2325
Phone
(603) 382-5400
NPI assigned
Jun 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Diane McCormack
Title
Billing Manager
Phone
(603) 382-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

144 Pinecrest Rd
Litchfield, NH 03052-2325

Mailing address

PO Box 882
Plaistow, NH 03865-0882
Phone (603) 382-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090325000291 MA Part B Supplier - Clinic/Group Practice 8820155534 Receives reassigned benefits from 1 practitioner
Practice locations: Bradford, MA
O20110204000289 NH Part B Supplier - Clinic/Group Practice 8820155534 Receives reassigned benefits from 1 practitioner
Practice locations: Amherst, NH; Manchester, NH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1053572917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038650882",
            "telephone_number": "603-382-5400",
            "fax_number": "603-382-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 PINECREST RD",
            "city": "LITCHFIELD",
            "state": "NH",
            "postal_code": "030522325",
            "telephone_number": "603-382-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL RESOURCE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "603-382-5400"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.