Active NPI
Katherine Lindsey Gorman, PSYD
- Clinical Neuropsychologist
- Manchester, NH
National Provider Identifier
1457935736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 1536
- Practice address
- 138 Webster St
Manchester, NH 03104-2512 - Phone
- (603) 645-5977
- NPI assigned
- May 12, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1536 | NH | Primary |
| Clinical Neuropsychologist | 103G00000X | PY10869 | FL |
Addresses
Primary practice location
138 Webster St
Manchester, NH 03104-2512
Mailing address
PO Box 3300
Manchester, NH 03105-3300
Phone (603) 645-5977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T400773806 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 50.01 of 100
- Quality
- 7.83
- Improvement activities
- 40
- Cost
- 80.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY10869 | FL | MD | Clinical Neuropsychologist |
| 1536 | NH | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1457935736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3300",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031053300",
"telephone_number": "603-645-5977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 WEBSTER ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031042512",
"telephone_number": "603-645-5977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "KATHERINE",
"middle_name": "LINDSEY",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-12",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NH",
"license": "1536",
"primary": true
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY10869",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T400773806",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.