Organization Active NPI

Amber Iller

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Londonderry, NH
National Provider Identifier
1407323447
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AMBER ILLER
Practice address
80 Nashua Rd
Building C, Lower Level
Londonderry, NH 03053
Phone
(617) 803-0644
NPI assigned
Oct 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Amber Iller, LICSW
Title
Therapist
Phone
(617) 803-0644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

80 Nashua Rd
Building C, Lower Level
Londonderry, NH 03053

Mailing address

6 Copperfield LN
Londonderry, NH 03053-3265

National Provider Directory

National Provider Directory

Locations

80 Nashua Rd
Bldg C
Londonderry, NH 03053
Phone (603) 432-3308

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1407323447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COPPERFIELD LN",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 NASHUA RD",
            "address_2": "BUILDING C, LOWER LEVEL",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "03053",
            "telephone_number": "617-803-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER ILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "ILLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "617-803-0644",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.