NPIMap

Organization Active NPI

Bicentennial Square Counseling Associates, PLLC

  • Clinical Psychologist
  • Concord, NH
National Provider Identifier
1083765184
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BICENTENNIAL SQUARE COUNSELING ASSOCIATES, PLLC
Practice address
4 Bicentennial SQ
Concord, NH 03301-4058
Phone
(603) 226-1976
Fax
(603) 226-1978
NPI assigned
Jan 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Felicia Faye Brown, PH.D.
Title
Owner
Phone
(603) 226-1976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

4 Bicentennial SQ
Concord, NH 03301-4058

Mailing address

4 Bicentennial SQ
Concord, NH 03301-4058
Phone (603) 226-1976

National Provider Directory

National Provider Directory

Locations

4 Bicentennial Sq
Concord, NH 03301
Phone (215) 694-0112

Practitioners & affiliated clinicians

Practitioners 3

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": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083765184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BICENTENNIAL SQ",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014058",
            "telephone_number": "603-226-1976",
            "fax_number": "603-226-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BICENTENNIAL SQ",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014058",
            "telephone_number": "603-226-1976",
            "fax_number": "603-226-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BICENTENNIAL SQUARE COUNSELING ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-226-1976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.