Active NPI
Lucas John Brandt
- Clinical Psychologist
- Concord, NH
National Provider Identifier
1326812413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0000
- Practice address
- 250 Pleasant St
Concord, NH 03301-2598 - Phone
- (603) 228-7200
- NPI assigned
- Nov 9, 2023
- Last updated
- Nov 9, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0000 | NH | Primary |
Addresses
Primary practice location
250 Pleasant St
Concord, NH 03301-2598
Mailing address
51 Main St Apt 2D
Keene, NH 03431-3716
Phone (608) 397-1294
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000 | NH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1326812413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 MAIN ST APT 2D",
"city": "KEENE",
"state": "NH",
"postal_code": "034313716",
"telephone_number": "608-397-1294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PLEASANT ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012598",
"telephone_number": "603-228-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDT",
"first_name": "LUCAS",
"middle_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-09",
"last_updated": "2023-11-09",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NH",
"license": "0000",
"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 Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.