NPIMap

Organization Active NPI

Woodland Professional Associates LLC

  • Cognitive & Behavioral Psychologist
  • Hampstead, NH
National Provider Identifier
1184777674
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
NH8592 Issued in NH
Legal business name
WOODLAND PROFESSIONAL ASSOCIATES LLC
Practice address
20 Mary E Clark Dr
Unit 8
Hampstead, NH 03841-2292
Phone
(603) 964-4869
Fax
(603) 964-4890
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Patricia Gianotti
Title
Secretary
Phone
(603) 964-4869

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X NH 93 NH
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X NH8592 NH Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X NH 8592 NH

Addresses

Primary practice location

20 Mary E Clark Dr
Unit 8
Hampstead, NH 03841-2292

Mailing address

20 Mary E Clark Dr
Unit 8
Hampstead, NH 03841-2292
Phone (603) 964-4869

National Provider Directory

National Provider Directory

Locations

20 Mary E Clark Dr
Ste 8
Hampstead, NH 03841
Phone (603) 964-4869

Practitioners & affiliated clinicians

Practitioners 2

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1184777674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MARY E CLARK DR",
            "address_2": "UNIT 8",
            "city": "HAMPSTEAD",
            "state": "NH",
            "postal_code": "038412292",
            "telephone_number": "603-964-4869",
            "fax_number": "603-964-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MARY E CLARK DR",
            "address_2": "UNIT 8",
            "city": "HAMPSTEAD",
            "state": "NH",
            "postal_code": "038412292",
            "telephone_number": "603-964-4869",
            "fax_number": "603-964-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND PROFESSIONAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "GIANOTTI",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "603-964-4869"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "NH 93",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NH",
            "license": "NH8592",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "NH 8592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.