Active NPI
Constance Johannessen, PSY, D.
- Cognitive & Behavioral Psychologist
- North Hampton, NH
National Provider Identifier
1194840249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- NH718
- Practice address
- 155 Lafayette Rd
Suite 3
North Hampton, NH 03862-2464 - Phone
- (603) 964-4869
- Fax
- (603) 964-4980
- NPI assigned
- Mar 20, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | NH718 | NH | Primary |
Addresses
Primary practice location
155 Lafayette Rd
Suite 3
North Hampton, NH 03862-2464
Mailing address
155 Lafayette Rd
Suite 3
North Hampton, NH 03862-2464
Phone (603) 964-4869
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 22, 2016 through Apr 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NH718 | NH | MD | Cognitive & Behavioral Psychologist |
| 718 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1194840249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 LAFAYETTE RD",
"address_2": "SUITE 3",
"city": "NORTH HAMPTON",
"state": "NH",
"postal_code": "038622464",
"telephone_number": "603-964-4869",
"fax_number": "603-964-4980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 LAFAYETTE RD",
"address_2": "SUITE 3",
"city": "NORTH HAMPTON",
"state": "NH",
"postal_code": "038622464",
"telephone_number": "603-964-4869",
"fax_number": "603-964-4980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHANNESSEN",
"first_name": "CONSTANCE",
"credential": "PSY, D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NH",
"license": "NH718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hampton, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.