Organization Active NPI

Discovery ABA NH LLC

  • Community/Behavioral Health Agency
  • Concord, NH
National Provider Identifier
1558139147
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DISCOVERY ABA NH LLC
Practice address
11 S Main St Ste 200
Concord, NH 03301-4846
Phone
(718) 736-5689
NPI assigned
Dec 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Mr. Mark Elias
Title
Managing Director
Phone
(718) 736-5689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

11 S Main St Ste 200
Concord, NH 03301-4846

Mailing address

600 Bayview Ave Ste 400
Inwood, NY 11096-1606
Phone (718) 736-5689

Other names 1

  • Discovery ABA NH LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1558139147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BAYVIEW AVE STE 400",
            "city": "INWOOD",
            "state": "NY",
            "postal_code": "110961606",
            "telephone_number": "718-736-5689",
            "fax_number": "516-703-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 S MAIN ST STE 200",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014846",
            "telephone_number": "718-736-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY ABA NH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "718-736-5689",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discovery ABA NH LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.