Individual provider Active NPI

Marcia J Pabo, MD

  • Psychiatry Physician
  • Keene, NH
National Provider Identifier
1427076876
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
8132 Issued in NH
Practice address
103 Roxbury St Ste 306
Keene, NH 03431-3800
Phone
(603) 357-3330
Fax
(603) 876-9365
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 8132 NH Primary

Addresses

Primary practice location

103 Roxbury St Ste 306
Keene, NH 03431-3800

Mailing address

103 Roxbury St Ste 306
Keene, NH 03431-3800
Phone (603) 357-3330

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706000934 NH Practitioner - Psychiatry 7113904301 Reassigns benefits to 1 organization
Practice locations: Marlborough, NH

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albany Medical College of Union University, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Center for Southern New Hampshire IncGroup PAC ID 4981594199, 10 clinicians

Practice addresses (Care Compare)

10 Tsienneto Rd
Derry, NH 03038-1505
Phone (603) 434-1577

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8132NHMDPsychiatry Physician

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427076876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ROXBURY ST STE 306",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313800",
            "telephone_number": "603-357-3330",
            "fax_number": "603-876-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ROXBURY ST STE 306",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313800",
            "telephone_number": "603-357-3330",
            "fax_number": "603-876-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABO",
        "first_name": "MARCIA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "8132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.