Nicholas Bickford

Individual provider Active NPI Peer Specialist · Manchester, NH

NPI 1154892057 · NPPES record last updated Dec 17, 2018

Key facts

NPI
1154892057
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
1555 Elm St
Manchester, NH 03101-1203
Phone
(603) 668-4111
Fax
(603) 628-7757
NPI assigned
Dec 17, 2018
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
The Mental Health Center of Greater Manchester Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

1555 Elm St
Manchester, NH 03101-1203

Mailing address

2 Wall St Ste 300
Manchester, NH 03101-1518
Phone (603) 668-4111

Other providers in Manchester, NH

All providers in Manchester, NH · Peer Specialist in New Hampshire

Sources for this page

Verify at the official NPI Registry.