New England Medicine and Counseling Associates, PLLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

743884 Issued in NH

Legal business name

NEW ENGLAND MEDICINE AND COUNSELING ASSOCIATES, PLLC

Practice address

120 Route 10 N
Grantham, NH 03753-3619

Phone

(603) 903-2900

Fax

(603) 676-4614

NPI assigned

Jun 1, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Fecteau

Title

Vice President of Operations

Phone

(603) 903-2900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1356879548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797",
            "city": "GRANTHAM",
            "state": "NH",
            "postal_code": "037530797",
            "telephone_number": "603-903-2900",
            "fax_number": "603-676-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ROUTE 10 N",
            "city": "GRANTHAM",
            "state": "NH",
            "postal_code": "037533619",
            "telephone_number": "603-903-2900",
            "fax_number": "603-676-4614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 East St",
            "address_purpose": "LOCATION",
            "city": "Winooski",
            "state": "VT",
            "postal_code": "054042054",
            "country_code": "US",
            "telephone_number": "802-503-8456",
            "fax_number": "802-419-8408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW ENGLAND MEDICINE AND COUNSELING ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "FECTEAU",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "603-903-2900"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NH",
            "license": "743884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.