NPIMap

Organization Active NPI

Family Therapy Institute of Southern New Hampshire at Bedford, Inc.

  • Clinical Psychologist
  • Manchester, NH
National Provider Identifier
1396971792
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
FAMILY THERAPY INSTITUTE OF SOUTHERN NEW HAMPSHIRE AT BEDFORD, INC.
Practice address
66 Prospect St
Manchester, NH 03104-3506
Phone
(603) 629-9851
Fax
(603) 472-5781
NPI assigned
Jun 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Authorized official

Name
Dr. Robert Clyde Goddard, PH.D.NPI 1508828237
Title
President
Phone
(603) 629-9851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

66 Prospect St
Manchester, NH 03104-3506

Mailing address

PO Box 10575
Bedford, NH 03110
Phone (603) 629-9851

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1396971792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10575",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-629-9851",
            "fax_number": "603-472-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PROSPECT ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031043506",
            "telephone_number": "603-629-9851",
            "fax_number": "603-472-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY THERAPY INSTITUTE OF SOUTHERN NEW HAMPSHIRE AT BEDFORD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CLYDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-629-9851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.