Matthew D Kasnetz, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

461 Issued in NH

Practice address

87 Stiles Rd
Suite 106
Salem, NH 03079-2899

Phone

(603) 893-7700

Fax

(603) 893-7331

NPI assigned

Feb 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salem Psychological Associates, PAGroup PAC ID 6002718699, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Salem Psychological Associates, PA

  • Psychologist
  • Salem, NH
  • NPI 1780795815
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1528102126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 STILES RD",
            "address_2": "SUITE 106",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792899",
            "telephone_number": "603-893-7700",
            "fax_number": "603-893-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 STILES RD",
            "address_2": "SUITE 106",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792899",
            "telephone_number": "603-893-7700",
            "fax_number": "603-893-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASNETZ",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0518956",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "83815000",
            "identifier": "MAGELLAN BEHAVIORAL",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000 0601",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "1036669",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "004547",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kannler Dermatology, PC
• Kara Feldberg, O.D, P.L.L.C
• Katie Karijolich, OT
• Mehdi Karimi, PT
• Ryan Karmouta, MD, MBA
• Elizabeth L Kayo, DPT
• Michele L Kayo, PT
• Courtney Keefe, MA
• Ruth A Keen, CERT NURSE MIDWIFE
• David Richard Keenan, PT

• Clinical Psychologist in Salem, NH
• Providers in Salem, NH by specialty
• Clinical Psychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.