Dr. Kate Vaillancourt, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

DR. KATE VAILLANCOURT, PLLC

Practice address

2299 Woodbury Ave
Newington, NH 03801-7854

Phone

(978) 572-0703

NPI assigned

Oct 4, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kate Vaillancourt, PSYDNPI 1134289788

Title

Licensed Psychologist

Phone

(978) 572-0703

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kate Vaillancourt, PSYD

  • Clinical Psychologist
  • Newington, NH
  • NPI 1134289788
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541203200000",
    "number": "1477028660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 WOODBURY AVE",
            "city": "NEWINGTON",
            "state": "NH",
            "postal_code": "038017854",
            "telephone_number": "978-572-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 WOODBURY AVE",
            "city": "NEWINGTON",
            "state": "NH",
            "postal_code": "038017854",
            "telephone_number": "978-572-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KATE VAILLANCOURT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-11-03",
        "status": "A",
        "authorized_official_last_name": "VAILLANCOURT",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "978-572-0703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Dalton
• Melanie Theresa Deflumeri, BCBA
• Carla Ann Desrosiers, RPH
• Emily Leffingwell Dewitt
• Dr Manuel Sanchez Pain Management and Interventions LLC
• Alicia Lynn Dunning
• Mariane Evans, BCBA
• Paul Fitzpatrick
• Jennifer Lynn Flood, APRN
• Katelyn Marie Fougere, RD

• Psychologist in Newington, NH
• Providers in Newington, NH by specialty
• Psychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.