Organization Active NPI

NH Neurofeedback Center LLC

  • Clinical Neurophysiology Physician
  • Nashua, NH
National Provider Identifier
1295209807
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
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

Updated by the provider on Jul 11, 2019

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)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.