Katherine Brock, MSN, APRN, PMHNP-BC

Key facts

NPI: 1104585280
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: 063987-23 (NH)
Practice address: 505 W Hollis St Ste 208
Nashua, NH 03062-1387
Phone: (603) 889-2843
NPI assigned: Dec 15, 2021
Sex: Female
Sole proprietor: Yes

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.

Spidaliere Psychological Associates, LLC Mental Health Counselor · Nashua, NH · NPI 1417203324

Medicare reassignment Care Compare group NPD NH

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2021
Medicare assignment: May accept Medicare assignment
Group practices: Spidaliere Psychological Associates, LLC (8 clinicians)

Practice addresses (Care Compare)

505 W Hollis St
Suite 208
Nashua, NH 03062-1387
Phone (603) 889-2843

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NH
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20250411000262	NH	Practitioner - Nurse Practitioner	0840714804	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Master of Science - Nursing

State licenses

License	State	Type	Specialty
063987-23	NH	MD	Psychiatric/Mental Health Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Spidaliere Psychological Associates, LLC		Current since Jan 4, 2025	Accepting new patients

Locations

505 W Hollis St
Ste 208
Nashua, NH 03062
Phone (603) 685-4644

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	063987-23	NH	Yes

Addresses

Primary practice location

505 W Hollis St Ste 208
Nashua, NH 03062-1387

Mailing address

505 W Hollis St Ste 208
Nashua, NH 03062-1387
Phone (603) 889-2843

Other names

Katherine Spidaliere Former name

Other providers in Nashua, NH

All providers in Nashua, NH · Psychiatric/Mental Health Nurse Practitioner in New Hampshire

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.