Individual provider Active NPI

Eric R Niler, PHD

  • Clinical Psychologist
  • Dover, NH
National Provider Identifier
1194750836
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
609 Issued in NH
Practice address
660 Central Ave
Suite 201
Dover, NH 03820-3491
Phone
(603) 743-2223
Fax
(603) 749-3365
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 609 NH Primary

Addresses

Primary practice location

660 Central Ave
Suite 201
Dover, NH 03820-3491

Mailing address

1 Old Dover Rd
Suite One
Rochester, NH 03867-3460
Phone (603) 335-2444

Other identifiers 2

IdentifierTypeStateIssuer
0606533Y0NH01OtherNHANTHEM BCBS
30010618MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
609NHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194750836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLD DOVER RD",
            "address_2": "SUITE ONE",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038673460",
            "telephone_number": "603-335-2444",
            "fax_number": "603-335-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 CENTRAL AVE",
            "address_2": "SUITE 201",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203491",
            "telephone_number": "603-743-2223",
            "fax_number": "603-749-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILER",
        "first_name": "ERIC",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "0606533Y0NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010618",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.