Shortridge Academy
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Milton, NH
NPI 1346792835 · NPPES record last updated May 25, 2023
Key facts
- NPI
- 1346792835
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- Legal business name
- SHORTRIDGE ACADEMY
- Practice address
- 619 Governors Road
Milton, NH 03851-4757 - Phone
- (603) 403-2800
- Fax
- (310) 457-6318
- NPI assigned
- Oct 31, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- ALTIOR HEALTHCARE
Authorized official
- Name
- Mr. Jonathan Mark Monroe
- Title
- Cfo
- Phone
- (951) 334-2233
Practitioners 12
-
Susan Bullivant, MSW, PHD
-
Megan Leigh Cartier, MSN, FNP-C
-
Nicholas Grippe, MSW,MS
-
Breanne L Walker, LCMHC
-
Brandon Chiapuzio, LCSW
-
Jessalyn Hobson, MS, LICSW
-
Kathy B Patch, MS CS ARNP
-
Catherine Patricia Shamshak, LCMHC
-
Christina Smalley, MA, LCMHC
-
Charles Y Jin, MD
National Provider Directory
- Part of
- Paradigm San Francisco Seaview House
Locations
619 Governors Rd
Milton, NH 03851
Phone (603) 755-3096
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Yes |
Addresses
Primary practice location
619 Governors Road
Milton, NH 03851-4757
Mailing address
12424 Wilshire Blvd Suite 800
Los Angeles, CA 90025
Phone (310) 457-6302
Other providers in Milton, NH
- Sarah Joy Dillard
- Nicholas Grippe
- Move-Ability
- Anthony Pedersen I
- Casey Emelia Perry
- Cara Spilsbury
- Town of Milton
- Regina Tuma
- Alison Wilson
- Winter Arc Counseling, PLLC
All providers in Milton, NH · Emotionally Disturbed Childrens' Residential Treatment Facility in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.