Active NPI
NH Neurofeedback Center LLC
- Clinical Neurophysiology Physician
- Nashua, NH
National Provider Identifier
1295209807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- Legal business name
- NH NEUROFEEDBACK CENTER LLC
- Practice address
- 26 E Pearl St
Nashua, NH 03060-3459 - Phone
- (603) 780-4930
- Fax
- (603) 386-6404
- NPI assigned
- Jan 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nicholas Diamantides
- Title
- Cfo
- Phone
- (561) 990-9951
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | Primary |
Addresses
Primary practice location
26 E Pearl St
Nashua, NH 03060-3459
Mailing address
26 E Pearl St
Nashua, NH 03060-3459
Phone (561) 990-9951
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562803200000",
"number": "1295209807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 E PEARL ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603459",
"telephone_number": "561-990-9951",
"fax_number": "603-386-6404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 E PEARL ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603459",
"telephone_number": "603-780-4930",
"fax_number": "603-386-6404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NH NEUROFEEDBACK CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-16",
"last_updated": "2019-07-11",
"status": "A",
"authorized_official_last_name": "DIAMANTIDES",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "561-990-9951",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.