Dawn Wyman Licsw PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

DAWN WYMAN LICSW PLLC

Practice address

3 Executive Park Dr Ste 212
Bedford, NH 03110-6975

Phone

(603) 440-4519

Fax

(603) 232-3079

NPI assigned

May 15, 2017

Last updated

May 15, 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

Lee Dieter

Title

Billing Manager

Phone

(603) 714-0870

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

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.

• Dawn Ruth Wyman, LICSW

  • Clinical Social Worker
  • Manchester, NH
  • NPI 1134341241
  Medicare reassignment NPD

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494806400000",
    "number": "1144757691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4275",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031084275",
            "telephone_number": "603-440-4519",
            "fax_number": "603-232-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 EXECUTIVE PARK DR STE 212",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106975",
            "telephone_number": "603-440-4519",
            "fax_number": "603-232-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN WYMAN LICSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-05-15",
        "status": "A",
        "authorized_official_last_name": "DIETER",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "603-714-0870"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dartmouth-Hitchcock Clinic
• Dartmouth-Hitchcock Clinic
• Jeffrey Davis
• Thea Helen Davis, B.C.B.A
• Lakisha Regina Davison
• Joseph M De Vera, MD
• Kathryn L. Deason, MD
• Gina Decker, MS, RD, LD
• Emily Deibert Cisneros, MD
• Lorey Delap, MSW, LCSW

• Adolescent and Children Mental Health Clinic/Center in Bedford, NH
• Providers in Bedford, NH by specialty
• Adolescent and Children Mental Health Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; 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.