Organization Active NPI

Dynamic Mental Health of New England, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bedford, NH
National Provider Identifier
1437734639
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DYNAMIC MENTAL HEALTH OF NEW ENGLAND, PLLC
Practice address
80 Palomino LN Ste 203
Bedford, NH 03110-6447
Phone
(603) 716-1924
Fax
(949) 561-5020
NPI assigned
Mar 10, 2021
Last updated
Jul 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Pooja Cheema, APRN, PMHNP-BCNPI 1487289740
Title
Practice Owner
Phone
(603) 716-1924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

80 Palomino LN Ste 203
Bedford, NH 03110-6447

Mailing address

80 Palomino LN Ste 203
Bedford, NH 03110-6447
Phone (603) 716-1924

National Provider Directory

National Provider Directory

Locations

80 Palomino Ln
Ste 203
Bedford, NH 03110
Phone (603) 424-9817

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1437734639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PALOMINO LN STE 203",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106447",
            "telephone_number": "603-716-1924",
            "fax_number": "949-561-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PALOMINO LN STE 203",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106447",
            "telephone_number": "603-716-1924",
            "fax_number": "949-561-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC MENTAL HEALTH OF NEW ENGLAND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "CHEEMA",
        "authorized_official_first_name": "POOJA",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "603-716-1924",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "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 Jul 15, 2021; 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.