Individual provider Active NPI

Dominique L Beaulieu, PSYD

  • Psychologist
  • Nashua, NH
National Provider Identifier
1316215189
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1300 Issued in NH
Practice address
39 Simon St Ste 5
Nashua, NH 03060-3045
Phone
(603) 889-8648
NPI assigned
Dec 8, 2011
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1300 NH Primary

Addresses

Primary practice location

39 Simon St Ste 5
Nashua, NH 03060-3045

Mailing address

39 Simon St Ste 5
Nashua, NH 03060-3045
Phone (603) 889-8648

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
I20140211000021 NH Practitioner - Clinical Psychologist 7315176583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lamora Psychological Associates, P.a.Group PAC ID 3072565472, 11 clinicians

Practice addresses (Care Compare)

39 Simon St
Suite 5
Nashua, NH 03060-3046
Phone (603) 889-8648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1300NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lamora Psychological Associates, P.a. CurrentSince Aug 12, 2017 Accepting new patients

Locations

39 Simon St
Ste 5
Nashua, NH 03060
Phone (603) 598-5400

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": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1316215189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SIMON ST STE 5",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603045",
            "telephone_number": "603-889-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SIMON ST STE 5",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603045",
            "telephone_number": "603-889-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAULIEU",
        "first_name": "DOMINIQUE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "1300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.