Active NPI
Eric Penniman, M.ED
- Psychologist
- Concord, NH
National Provider Identifier
1295407005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 91157
- Practice address
- 144 South St
Concord, NH 03301-2705 - Phone
- (603) 225-0862
- NPI assigned
- Sep 30, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 91157 | NH | |
| Psychologist | 103T00000X | 91157 | NH | Primary |
Addresses
Primary practice location
144 South St
Concord, NH 03301-2705
Mailing address
144 South St
Concord, NH 03301-2705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91157 | NH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1295407005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 SOUTH ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 SOUTH ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012705",
"telephone_number": "603-225-0862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNIMAN",
"first_name": "ERIC",
"credential": "M.ED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-30",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NH",
"license": "91157",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NH",
"license": "91157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.