Altum Psychiatric Services, PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

07475223 Issued in NH

Legal business name

ALTUM PSYCHIATRIC SERVICES, PLLC

Practice address

1 Bridge St Ste 210
Plymouth, NH 03264-1623

Phone

(352) 226-3803

NPI assigned

Nov 1, 2017

Last updated

Nov 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cymande Baxter-Rogers, APRNNPI 1700881026

Title

Ceo

Phone

(352) 226-3803

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Altum Psych Other name

Locations

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.

• Cymande A Baxter-Rogers, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Wolfeboro, NH
  • NPI 1700881026
  NPD Authorized official

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511568000000",
    "number": "1144732074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRIDGE ST STE 210",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641623",
            "telephone_number": "352-226-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRIDGE ST STE 210",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641623",
            "telephone_number": "352-226-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTUM PSYCHIATRIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-25",
        "status": "A",
        "authorized_official_last_name": "BAXTER-ROGERS",
        "authorized_official_first_name": "CYMANDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-226-3803",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "07475223",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "07475223",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306591000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altum Psych",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Musaab Abu Zaid
• Kingsley Adu-Gyamfi
• Ross Robert Aiello IV
• Riley Reese Anderson
• Brittany Kalae Anibal, DO
• Anita Furbush, PT
• Andrew C G Armstrong, OD
• Diane L Arsenault, M.D.

• Nurse Practitioner in Plymouth, NH
• Providers in Plymouth, NH by specialty
• Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2017; 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.