Paul D Lidstrom, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

7653 Issued in NH

Practice address

29 Maple St
Littleton, NH 03561-4729

Phone

(603) 444-5358

NPI assigned

Mar 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Eastern Virginia Medical School, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northern Human ServicesGroup PAC ID 3173595931, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Littleton Regional Healthcare Hospital, Littleton, NH, CCN 301302
• Cottage Hospital Hospital, Woodsville, NH, CCN 301301

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northern Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Center Conway, NH
  • NPI 1700955028
  Medicare reassignment Care Compare group
• Northern Human Services

  • Community/Behavioral Health Agency
  • Littleton, NH
  • NPI 1023463965
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cottage Hospital

  dba Rowe Health Center

  • Rural Health Clinic/Center
  • Woodsville, NH
  • NPI 1275857328

  Hospital

  Care Compare affiliation
• Cottage Hospital

  • Critical Access Hospital
  • Woodsville, NH
  • NPI 1528162799
  Care Compare affiliation
• Cottage Hospital

  • Critical Access Hospital
  • Woodsville, NH
  • NPI 1780723650
  Care Compare affiliation
• Cottage Hospital

  • Psychiatric Hospital Unit
  • Woodsville, NH
  • NPI 1841655677
  Care Compare affiliation
• Littleton Hospital Association

  dba Littleton Regional Healthcare

  • Critical Access Hospital
  • Littleton, NH
  • NPI 1144223702
  Care Compare affiliation

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1558495390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 WASHINGTON ST",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038186044",
            "telephone_number": "603-447-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MAPLE ST",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614729",
            "telephone_number": "603-444-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDSTROM",
        "first_name": "PAUL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "7653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0108024Y0NH02",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM FEP",
            "identifier": "0108024T0NH02",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard A Ledoux III, BA
• Cheryl Ann Legg, R.PH.
• Lesley Wotton (Three Little Birds Therapy and Wellness)
• Hillary E Liddick, APRN
• Carol Frances Lidstrom, MD
• Lighthouse Radiology, PLLC
• Mark Edward Lindberg
• Littleton Dentures & Implants PLLC (Family Dental of Littleton)
• Littleton Family Dental Practice, PC
• Littleton Hospital Association (Littleton Orthopedics)

• Psychiatry Physician in Littleton, NH
• Providers in Littleton, NH by specialty
• Psychiatry Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.