Calvin R. Genzel, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

813 Issued in NH

Practice address

Pastoral Counseling Services
2013 Elm Street
Manchester, NH 03104

Phone

(603) 627-2702

Fax

(603) 627-3643

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pastoral Counseling Services-United Church of Christ, Inc.Group PAC ID 2567442627, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brightleaf, Inc

  • Adult Mental Health Clinic/Center
  • Manchester, NH
  • NPI 1306934757

  Clinical

  Medicare reassignment Care Compare group NPD Authorized official
• Pastoral Counseling Services

  • Clinical Social Worker
  • Manchester, NH
  • NPI 1225135510
  NPD

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1386740744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PASTORAL COUNSELING SERVICES",
            "address_2": "2013 ELM STREET",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03104",
            "telephone_number": "603-627-2702",
            "fax_number": "603-627-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PASTORAL COUNSELING SERVICES",
            "address_2": "2013 ELM STREET",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03104",
            "telephone_number": "603-627-2702",
            "fax_number": "603-627-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENZEL",
        "first_name": "CALVIN",
        "middle_name": "R.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "813",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7015",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010066",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genesis Rehab Services
• Emily Gennetti, LICSW
• Genoa Healthcare LLC
• Genoa Healthcare LLC
• Robert C Gensure, MD
• Emily Bernice Geoghegan, M.DIV., PH.D.
• Diana Lynn George, RN
• Mikayla Ashley George
• Lori H. Georgy
• Linda Elizabeth Geraci, M.D.

• Clinical Psychologist in Manchester, NH
• Providers in Manchester, NH by specialty
• Clinical Psychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.