Individual provider Active NPI

Pooja Patil Cheema, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bedford, NH
National Provider Identifier
1487289740
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
065681-23 Issued in NH
Practice address
40 S River Rd Unit 55
Bedford, NH 03110-6751
Phone
(603) 716-1924
Fax
(603) 697-7466
NPI assigned
Mar 6, 2020
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 065681-23 NH Primary

Addresses

Primary practice location

40 S River Rd Unit 55
Bedford, NH 03110-6751

Mailing address

40 S River Rd Unit 55
Bedford, NH 03110-6751
Phone (603) 716-1924

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
065681-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Mental Health of New England, PLLC Psychiatric/Mental Health CurrentSince Mar 1, 2021 Accepting new patients

Locations

80 Palomino Ln
Ste 203
Bedford, NH 03110
Phone (603) 669-7999

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1487289740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S RIVER RD UNIT 55",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106751",
            "telephone_number": "603-716-1924",
            "fax_number": "603-697-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S RIVER RD UNIT 55",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106751",
            "telephone_number": "603-716-1924",
            "fax_number": "603-697-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEEMA",
        "first_name": "POOJA",
        "middle_name": "PATIL",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "065681-23",
            "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 Jan 27, 2025; 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.