Organization Active NPI

Exeter Psychological Associates, Inc.

  • Clinical Social Worker
  • Greenland, NH
National Provider Identifier
1548217656
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EXETER PSYCHOLOGICAL ASSOCIATES, INC.
Practice address
370 Portsmouth Ave Ste 7
Greenland, NH 03840
Phone
(603) 772-2187
Fax
(603) 772-0477
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Deborah H. Hamilton, LICSWNPI 1811915101
Title
Vice President/Provider
Phone
(603) 692-4060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

370 Portsmouth Ave Ste 7
Greenland, NH 03840

Mailing address

370 Portsmouth Ave Ste 7
Greenland, NH 03840-2252
Phone (603) 772-2187

Other practice location 1

20B Hampton Rd
Exeter, NH 03833-4823
Phone (603) 772-2187 ext. 100

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL exeterpsych.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061207000303 NH Part B Supplier - Clinic/Group Practice 6901709781 Receives reassigned benefits from 2 practitioners
Practice locations: Greenland, NH

National Provider Directory

National Provider Directory

Locations

20B Hampton Rd
Exeter, NH 03833
Phone (603) 772-2187

370 Portsmouth Ave
Ste 7
Greenland, NH 03840
Phone (603) 692-4060

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1548217656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 PORTSMOUTH AVE STE 7",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038402252",
            "telephone_number": "603-772-2187",
            "fax_number": "603-772-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 PORTSMOUTH AVE STE 7",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "03840",
            "telephone_number": "603-772-2187",
            "fax_number": "603-772-0477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20B Hampton Rd",
            "address_purpose": "LOCATION",
            "city": "Exeter",
            "state": "NH",
            "postal_code": "038334823",
            "country_code": "US",
            "telephone_number": "603-772-2187 x100",
            "fax_number": "603-772-0477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXETER PSYCHOLOGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "VICE PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "603-692-4060",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "exeterpsych.com",
            "affiliation": "N",
            "endpointDescription": "business website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "patient information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "patient information",
            "address_1": "370 Portsmouth Ave Ste 7",
            "city": "Greenland",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038402252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenland, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.