Individual provider Active NPI

Caroline Julia Schiek Gamble

  • Psychologist
  • Manchester, NH
National Provider Identifier
1407109929
Registry record updated Sep 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1539 Issued in NH
Practice address
250 Commercial St Ste 3004
Manchester, NH 03101-1118
Phone
(603) 668-3050
Fax
(603) 668-8666
NPI assigned
Oct 22, 2012
Last updated
Sep 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1539 NH Primary

Addresses

Primary practice location

250 Commercial St Ste 3004
Manchester, NH 03101-1118

Mailing address

9 Devonshire Way
Bedford, NH 03110-6211
Phone (516) 765-0855

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251121000651 NH Practitioner - Clinical Psychologist 5193217792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

250 Commercial St
Suite 3004
Manchester, NH 03101-1118

250 Commercial St
Suite 3004
Manchester, NH 03101-1186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1539NHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Green House Group PA Psychologist CurrentSince Oct 2, 2025 Accepting new patients
Jewish Board of Family and Children Services Past Accepting new patients

Locations

250 Commercial St
Ste 3004
Manchester, NH 03101
Phone (603) 505-6249

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631404800000",
    "number": "1407109929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DEVONSHIRE WAY",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106211",
            "telephone_number": "516-765-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 COMMERCIAL ST STE 3004",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011118",
            "telephone_number": "603-668-3050",
            "fax_number": "603-668-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIEK GAMBLE",
        "first_name": "CAROLINE",
        "middle_name": "JULIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "1539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.