Individual provider Active NPI

Susan G Vonderheide, APRN, PH.D.

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1265501605
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
066468-23 Issued in NH
Practice address
3B Taggart Dr
Nashua, NH 03060-5592
Phone
(603) 891-1152
Fax
(603) 881-9744
NPI assigned
Nov 7, 2006
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 392 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 066468-23 NH Primary

Addresses

Primary practice location

3B Taggart Dr
Nashua, NH 03060-5592

Mailing address

3B Taggart Dr
Nashua, NH 03060-5592
Phone (603) 891-1152

Other practice location 1

218 East Rd
Hampstead, NH 03841-5303
Phone (603) 329-5311

Other identifiers 1

IdentifierTypeStateIssuer
3005954MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051219000577 NH Practitioner - Clinical Psychologist 8729000716 Reassigns benefits to 1 organization
Practice locations: Nashua, NH
I20251104003621 NH Practitioner - Nurse Practitioner 8729000716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
392NHMDOptometrist
066468-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Feb 15, 2025 Accepting new patients
St Joseph Hospital of Nashua NH Current Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Dec 1, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Feb 15, 2025 Accepting new patients
State of New Hampshire Past Accepting new patients

Locations

218 East Rd
Hampstead, NH 03841
Phone (603) 329-5311

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1265501605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3B TAGGART DR",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030605592",
            "telephone_number": "603-891-1152",
            "fax_number": "603-881-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3B TAGGART DR",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030605592",
            "telephone_number": "603-891-1152",
            "fax_number": "603-881-9744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 East Rd",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "NH",
            "postal_code": "038415303",
            "country_code": "US",
            "telephone_number": "603-329-5311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VONDERHEIDE",
        "first_name": "SUSAN",
        "middle_name": "G",
        "credential": "APRN, PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "392",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "066468-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3005954",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.