Innovative Psychiatry Center Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

INNOVATIVE PSYCHIATRY CENTER INC

Practice address

258 S River Rd
Bedford, NH 03110-6822

Phone

(603) 758-3192

NPI assigned

Dec 16, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Lauren Marie Belliveau

Title

Ceo

Phone

(603) 997-1889

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25489/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Paul Frederick Belliveau, M.D.

  • Psychiatry Physician
  • Exeter, NH
  • NPI 1235232455
  Medicare reassignment Care Compare group NPD
• Clive E Robertson, FNP-BC

  • Family Nurse Practitioner
  • Bedford, NH
  • NPI 1710655006
  Medicare reassignment Care Compare group NPD
• Jodi F Marshall, MD

  • Geriatric Psychiatry Physician
  • Portsmouth, NH
  • NPI 1710093174
  Medicare reassignment NPD

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1588323539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 S RIVER RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106822",
            "telephone_number": "603-758-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 S RIVER RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106822",
            "telephone_number": "603-758-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PSYCHIATRY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "BELLIVEAU",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-997-1889",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Bedford, NH
• Providers in Bedford, 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 Nov 24, 2025; 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.