Active NPI
Joel Podolsky, D.O.
- Psychiatry Physician
- Nashua, NH
National Provider Identifier
1417391848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- LT3430
- Practice address
- 7 Prospect St.
Nashua, NH 03060-3990 - Phone
- (603) 889-6147
- Fax
- (603) 883-1568
- NPI assigned
- Apr 29, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | LT3430 | NH | Primary |
| Psychiatry Physician | 2084P0800X | OS003418L | PA |
Addresses
Primary practice location
7 Prospect St.
Nashua, NH 03060-3990
Mailing address
7 Prospect St.
Nashua, NH 03060-3990
Phone (603) 889-6147
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LT3430 | NH | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1417391848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 PROSPECT ST.",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603990",
"telephone_number": "603-889-6147",
"fax_number": "603-883-1568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 PROSPECT ST.",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603990",
"telephone_number": "603-889-6147",
"fax_number": "603-883-1568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODOLSKY",
"first_name": "JOEL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-29",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NH",
"license": "LT3430",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "OS003418L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.