NPIMap

Organization Active NPI

Monadnock Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Keene, NH
National Provider Identifier
1508133125
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
057994-21 Issued in NH
Legal business name
MONADNOCK FAMILY SERVICES
Practice address
17 93Rd St
Keene, NH 03431-3989
Phone
(603) 357-5270
Fax
(603) 357-6896
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Dr. Frederick A Agisim, MD
Title
Cheif Medical Officer
Phone
(603) 357-5270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 057994-21 NH Primary

Addresses

Primary practice location

17 93Rd St
Keene, NH 03431-3989

Mailing address

17 93Rd St
Keene, NH 03431-3989
Phone (603) 357-5270

National Provider Directory

National Provider Directory
Tax ID family
Monadnock Family Services9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1508133125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 93RD ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313989",
            "telephone_number": "603-357-5270",
            "fax_number": "603-357-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 93RD ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313989",
            "telephone_number": "603-357-5270",
            "fax_number": "603-357-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONADNOCK FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "AGISIM",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHEIF MEDICAL OFFICER",
        "authorized_official_telephone_number": "603-357-5270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NH",
            "license": "057994-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.