Individual provider Active NPI

David G Kamen, PH.D.

  • Clinical Psychologist
  • Manchester, NH
National Provider Identifier
1316041700
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1008 Issued in NH
Practice address
25 Lowell St Ste 502
Manchester, NH 03101-1647
Phone
(603) 867-0333
Fax
(603) 218-6697
NPI assigned
Sep 7, 2006
Last updated
Dec 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1008 NH Primary

Addresses

Primary practice location

25 Lowell St Ste 502
Manchester, NH 03101-1647

Mailing address

25 Lowell St Ste 502
Manchester, NH 03101-1647
Phone (603) 867-0333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061011000201 NH Practitioner - Clinical Psychologist 9638174543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Counseling Center of Nashua IncGroup PAC ID 3274523758, 250 clinicians

Practice addresses (Care Compare)

148 Coolidge Ave
Manchester, NH 03102-3493
Phone (603) 883-0005

24 Front St
Exeter, NH 03833-2727
Phone (603) 883-0005

77 Gilcreast Rd
Suite 3000
Londonderry, NH 03053-3563
Phone (603) 883-0005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1008NHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Center of Nashua Inc Clinical CurrentSince Sep 21, 2009 Accepting new patients

Locations

24 Front St
Exeter, NH 03833
Phone (603) 772-3900

77 Gilcreast Rd
Ste 3000
Londonderry, NH 03053
Phone (603) 434-0190

1 Main St
Nashua, NH 03064
Phone (603) 689-7978

Interoperability endpoints

  • Direct secure messaging: ccn.davidkamen@140126.advancedmd-direct.com

Organizations & group practices 1

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1316041700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LOWELL ST STE 502",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011647",
            "telephone_number": "603-867-0333",
            "fax_number": "603-218-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LOWELL ST STE 502",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011647",
            "telephone_number": "603-867-0333",
            "fax_number": "603-218-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMEN",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.