Building Blocks Child and Adult Psychotherapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

985 Issued in NH

Legal business name

BUILDING BLOCKS CHILD AND ADULT PSYCHOTHERAPY, LLC

Doing business as

Building Blocks Child and Adult Psychotherapy, LLC

Practice address

20 Grove St
Suite 200
Peterborough, NH 03458-1470

Phone

(603) 831-6392

Fax

(603) 924-4215

NPI assigned

Feb 9, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Ross Whitney Davidson, LCMHCNPI 1194917401

Title

Owner

Phone

(603) 831-6392

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Building Blocks Child and Adult Psychotherapy, LLC Doing business as

Tax ID family

Building Blocks Child and Adult Psychotherapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Building Blocks Child and Adult Psychotherapy, LLC

  • Mental Health Counselor
  • Peterborough, NH
  • NPI 1598184012
  NPD tax ID

Locations

Practitioners 1

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

• Ross Whitney Davidson, LCMHC, MLADC

  • Mental Health Counselor
  • Dublin, NH
  • NPI 1194917401
  NPD (past) Authorized official

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

{
    "created_epoch": "1391904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391904000000",
    "number": "1356765523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GROVE ST",
            "address_2": "SUITE 200",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581470",
            "telephone_number": "603-831-6392",
            "fax_number": "603-924-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GROVE ST",
            "address_2": "SUITE 200",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581470",
            "telephone_number": "603-831-6392",
            "fax_number": "603-924-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING BLOCKS CHILD AND ADULT PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-09",
        "last_updated": "2014-02-09",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "WHITNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-831-6392",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NH",
            "license": "985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP ID #",
            "identifier": "3092409",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3089977",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Building Blocks Child and Adult Psychotherapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carla Voelcker Blakely
• Richard P Boyer, M.D.
• Annette Renee Brooks, APRN
• Nathaniel Brown
• Gertrude E Buckley, APRN
• Building Blocks Child and Adult Psychotherapy, LLC
• Hunter Burgess, PT
• Mary L Burton
• Stephen Henry Buzzell, MD
• Teresa Mary Cadorette, M.D.

• Community/Behavioral Health Agency in Peterborough, NH
• Providers in Peterborough, NH by specialty
• Community/Behavioral Health Agency in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2014; 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.