Active NPI
Center for Eating Disorders Management
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bedford, NH
National Provider Identifier
1114102464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CENTER FOR EATING DISORDERS MANAGEMENT
- Practice address
- 360 Route 101 Ste 10
Bedford, NH 03110-5031 - Phone
- (603) 472-2846
- Fax
- (603) 472-2872
- NPI assigned
- Jan 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura J Clauss, ARNP-C, CEDS
- Title
- Nurse Practitioner, President, Ceo
- Phone
- (609) 472-2846
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 453 | NH | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
360 Route 101 Ste 10
Bedford, NH 03110-5031
Mailing address
360 Route 101 Ste 10
Bedford, NH 03110-5031
Phone (603) 472-2846
Other practice location 1
40 Shattuck Rd Ste 250B
Andover, MA 01810-2492
Phone (603) 472-2846
National Provider Directory
National Provider DirectoryLocations
360 State Route 101
Ste 10
Bedford, NH 03110
Phone (603) 472-2846
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Derry, NH
- NPI 1811367253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677628800000",
"number": "1114102464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 ROUTE 101 STE 10",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031105031",
"telephone_number": "603-472-2846",
"fax_number": "603-472-2872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 ROUTE 101 STE 10",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031105031",
"telephone_number": "603-472-2846",
"fax_number": "603-472-2872"
}
],
"practiceLocations": [
{
"address_1": "40 Shattuck Rd Ste 250B",
"address_purpose": "LOCATION",
"city": "Andover",
"state": "MA",
"postal_code": "018102492",
"country_code": "US",
"telephone_number": "603-472-2846",
"fax_number": "603-472-2872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CENTER FOR EATING DISORDERS MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-07",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A",
"authorized_official_last_name": "CLAUSS",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "NURSE PRACTITIONER, PRESIDENT, CEO",
"authorized_official_telephone_number": "609-472-2846",
"authorized_official_credential": "ARNP-C, CEDS"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "453",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.