Active NPI
Kenneth Slater
- Psychosomatic Medicine Physician
- Bedford, NH
National Provider Identifier
1417161803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychosomatic Medicine Physician
- License
- 9025
- Practice address
- 18 Constitution Dr Ste 10
Bedford, NH 03110-6076 - Phone
- (603) 668-5200
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | 9025 | NH | |
| Psychosomatic Medicine Physician | 2084P0015X | 9025 | NH | Primary |
Addresses
Primary practice location
18 Constitution Dr Ste 10
Bedford, NH 03110-6076
Mailing address
18 Constitution Dr Ste 10
Bedford, NH 03110-6076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9025 | NH | MD | Psychosomatic Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1417161803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CONSTITUTION DR STE 10",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 CONSTITUTION DR STE 10",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106076",
"telephone_number": "603-668-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATER",
"first_name": "KENNETH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207LA0401X",
"taxonomy_group": "",
"desc": "Anesthesiology, Addiction Medicine",
"state": "NH",
"license": "9025",
"primary": false
},
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "NH",
"license": "9025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.