Active NPI
Trustees of Dartmouth College
Doing business as Dartmouth Hitchcock Psychiatry Assoc
- Addiction Medicine (Psychiatry & Neurology) Physician
- Lebanon, NH
National Provider Identifier
1336262930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- Legal business name
- TRUSTEES OF DARTMOUTH COLLEGE
- Doing business as
- Dartmouth Hitchcock Psychiatry Assoc
- Practice address
- 1 Medical Center Dr
Lebanon, NH 03756-1000 - Phone
- (603) 650-6176
- NPI assigned
- Apr 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Candis L. Tuller
- Title
- Credentialing Specialist
- Phone
- (603) 653-1732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Lebanon, NH 03756-1000
Mailing address
1 Medical Center Dr
Lebanon, NH 03756-1000
Phone (603) 650-6176
Other names 1
- Dartmouth Hitchcock Psychiatry Assoc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466035200000",
"number": "1336262930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-6176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-6176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUSTEES OF DARTMOUTH COLLEGE",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-09",
"last_updated": "2016-06-16",
"status": "A",
"authorized_official_last_name": "TULLER",
"authorized_official_first_name": "CANDIS",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "603-653-1732",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dartmouth Hitchcock Psychiatry Assoc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.