Individual provider Active NPI

Peter Daniel Lique Naitove, SCHOOL PSYCHOLOGIST

  • School Psychologist
  • Dover, NH
National Provider Identifier
1497427884
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
105934 Issued in NH
Practice address
25 Alumni Dr
Dover, NH 03820-4365
Phone
(603) 516-6912
Fax
(603) 516-8668
NPI assigned
Oct 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 105934 NH Primary

Addresses

Primary practice location

25 Alumni Dr
Dover, NH 03820-4365

Mailing address

25 Alumni Dr
Dover, NH 03820-4365
Phone (603) 516-6912

Other names 1

  • Dr. Peter Naitove Professional name

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
105934NHMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1497427884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ALUMNI DR",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204365",
            "telephone_number": "603-516-6912",
            "fax_number": "603-516-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ALUMNI DR",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204365",
            "telephone_number": "603-516-6912",
            "fax_number": "603-516-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIQUE NAITOVE",
        "first_name": "PETER",
        "middle_name": "DANIEL",
        "credential": "SCHOOL PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NH",
            "license": "105934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "NAITOVE",
            "prefix": "DR.",
            "credential": "SCHOOL PSYCHOLOGIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.