Organization Active NPI

Granite State Behavioral Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alton, NH
National Provider Identifier
1184489510
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GRANITE STATE BEHAVIORAL HEALTH PLLC
Practice address
119 Main Street
Alton, NH 03809
Phone
(603) 515-1700
NPI assigned
Feb 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Mr. Matthew Hersey, APRNNPI 1538923925
Title
Owner
Phone
(603) 515-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

119 Main Street
Alton, NH 03809

Mailing address

PO Box 600
Alton, NH 03809-0600
Phone (603) 515-1700

Other practice location 1

18 Union St
Wolfeboro, NH 03894-4480
Phone (603) 515-1700

National Provider Directory

National Provider Directory

Locations

119 Main St
Alton, NH 03809
Phone (603) 515-1700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1184489510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600",
            "city": "ALTON",
            "state": "NH",
            "postal_code": "038090600",
            "telephone_number": "603-515-1700",
            "fax_number": "603-607-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MAIN STREET",
            "city": "ALTON",
            "state": "NH",
            "postal_code": "03809",
            "telephone_number": "603-515-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Union St",
            "address_purpose": "LOCATION",
            "city": "Wolfeboro",
            "state": "NH",
            "postal_code": "038944480",
            "country_code": "US",
            "telephone_number": "603-515-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRANITE STATE BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "HERSEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-515-1700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.