Active NPI
Cheryl Bildner, PH.D.
- Clinical Psychologist
- Conway, NH
National Provider Identifier
1477614030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1055
- Practice address
- 81 Washington Street, Box 2726
Conway, NH 03818 - Phone
- (603) 447-2453
- Fax
- (603) 447-2450
- NPI assigned
- Dec 13, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1055 | NH | Primary |
Addresses
Primary practice location
81 Washington Street, Box 2726
Conway, NH 03818
Mailing address
RR 1 Box 175
84 Ellis Ridge Road
Glen, NH 03838-7600
Phone (603) 383-8228
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30423172 | Medicaid | NH | |
| 06Y007925NH01 | Other | NH | BILLING ID NUMBER |
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1055 | NH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477614030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 1 BOX 175",
"address_2": "84 ELLIS RIDGE ROAD",
"city": "GLEN",
"state": "NH",
"postal_code": "038387600",
"telephone_number": "603-383-8228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 WASHINGTON STREET, BOX 2726",
"city": "CONWAY",
"state": "NH",
"postal_code": "03818",
"telephone_number": "603-447-2453",
"fax_number": "603-447-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILDNER",
"first_name": "CHERYL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NH",
"license": "1055",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30423172",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BILLING ID NUMBER",
"identifier": "06Y007925NH01",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conway, NH
- Lisette Belhumeur, M.E.D
- Kimberly Bell, LCMHC, MLADC
- Bellini Psychology
- Samantha Bellini, PSY.D.
- Elizabeth E Bicio, LCSW
- Bio-Medical Applications of New Hampshire, Inc. (Mt. Washington Valley Dialysis Center)
- Blossoming Connections LLC
- Blue Heron Neurofeedback and Counseling
- Suzanne Borsody
- Melanie Bova, LCMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.