Active NPI
Elyse O'Rourke, MS
- Behavior Technician
- Manchester, NH
National Provider Identifier
1184153975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 415 Dubuque St Apt 3
Manchester, NH 03102-5442 - Phone
- (603) 315-1958
- NPI assigned
- Jun 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
415 Dubuque St Apt 3
Manchester, NH 03102-5442
Mailing address
415 Dubuque St Apt 3
Manchester, NH 03102-5442
Phone (603) 315-1958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Bridges LLC | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Bedford, NH
- NPI 1205131596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1184153975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 DUBUQUE ST APT 3",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031025442",
"telephone_number": "603-315-1958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 DUBUQUE ST APT 3",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031025442",
"telephone_number": "603-315-1958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'ROURKE",
"first_name": "ELYSE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-06",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
- Karen O'Neil Wetherbee, ARNP
- Sharon O'Neill, LCSW
- Molly Ann O'Reilly, BA
- Allison O'Rourke, CRNA
- Bryan O'Rourke
- Krystle O'Shaughnessy, LPN
- Oasis Dental, P.C.
- Oasis Health & Sports Center Inc (Executive Health & Sports Center)
- Daniel Lawrence Obrien, MPA
- Occupational Drug Testing LLC (Occupational Wellness Screening)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.