Organization Active NPI

Mitchell Manin MD PC

  • Psychiatry Physician
  • Portsmouth, NH
National Provider Identifier
1346337086
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MITCHELL MANIN MD PC
Practice address
3 Greenleaf Woods Drive
Suite 301
Portsmouth, NH 03801
Phone
(603) 436-3273
Fax
(603) 431-1615
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mitchell Manin, MD
Title
President
Phone
(603) 436-3273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

3 Greenleaf Woods Drive
Suite 301
Portsmouth, NH 03801

Mailing address

3 Greenleaf Woods Drive
Suite 301
Portsmouth, NH 03801
Phone (603) 436-3273

Other identifiers 2

IdentifierTypeStateIssuer
A805211OtherVALUE OPTIONS
010007740NH01OtherANTHEM BCBS

National Provider Directory

National Provider Directory

Locations

3 Greenleaf Woods Dr
Unit 301
Portsmouth, NH 03801
Phone (603) 431-5867

1247 Washington Rd
Rye, NH 03870
Phone (603) 964-1500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346337086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GREENLEAF WOODS DRIVE",
            "address_2": "SUITE 301",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "03801",
            "telephone_number": "603-436-3273",
            "fax_number": "603-431-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GREENLEAF WOODS DRIVE",
            "address_2": "SUITE 301",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "03801",
            "telephone_number": "603-436-3273",
            "fax_number": "603-431-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL MANIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANIN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-436-3273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "A805211",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "010007740NH01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.