Active NPI
Maryann Kane, ED.D.
- Exercise & Sports Psychologist
- Exeter, NH
National Provider Identifier
1508074493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exercise & Sports Psychologist
- License
- 709
- Practice address
- 163 Water St
Exeter, NH 03833-2424 - Phone
- (603) 580-5920
- Fax
- (603) 778-0022
- NPI assigned
- May 21, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 709 | NH | |
| Exercise & Sports Psychologist | 103TE1100X | 709 | NH | Primary |
Addresses
Primary practice location
163 Water St
Exeter, NH 03833-2424
Mailing address
163 Water St
Exeter, NH 03833-2424
Phone (603) 580-5920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30424962 | Medicaid | NH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exeter Counseling Center, PLLC | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Exeter, NH
- NPI 1164400685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1508074493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 WATER ST",
"city": "EXETER",
"state": "NH",
"postal_code": "038332424",
"telephone_number": "603-580-5920",
"fax_number": "603-778-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 WATER ST",
"city": "EXETER",
"state": "NH",
"postal_code": "038332424",
"telephone_number": "603-580-5920",
"fax_number": "603-778-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "MARYANN",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NH",
"license": "709",
"primary": false
},
{
"code": "103TE1100X",
"taxonomy_group": "",
"desc": "Psychologist, Exercise & Sports",
"state": "NH",
"license": "709",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30424962",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Exeter, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.