Individual provider Active NPI

Erika Beth Ebert, M.D.

  • Psychiatry Physician
  • Nashua, NH
National Provider Identifier
1598080327
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
16265 Issued in NH
Practice address
15 Trafalgar SQ Ste 202
Nashua, NH 03063-1968
Phone
(603) 883-0005
NPI assigned
Apr 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 16265 NH Primary

Addresses

Primary practice location

15 Trafalgar SQ Ste 202
Nashua, NH 03063-1968

Mailing address

1 Medical Center Dr
Department of Psychiatry
Lebanon, NH 03756-1000
Phone (603) 650-5000

Other practice location 1

1 Medical Center Dr
Department of Psychiatry
Lebanon, NH 03756-1000
Phone (603) 650-5000

Other names 1

  • Erika Beth Stageberg Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180215000142 NH Practitioner - Psychiatry 0345500237 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16265NHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Center of Nashua Inc CurrentSince May 11, 2020 Accepting new patients
State of New Hampshire CurrentSince Dec 14, 2017 Accepting new patients
State of New Hampshire CurrentSince Dec 14, 2017 Accepting new patients

Locations

8 Commerce Dr
Ste 305
Bedford, NH 03110

36 Clinton St
Concord, NH 03301
Phone (603) 271-5075

24 Front St
Exeter, NH 03833
Phone (603) 772-3900

15 Trafalgar Sq
Ste 202
Nashua, NH 03063
Phone (603) 689-7947

Interoperability endpoints

  • Direct secure messaging: ccn.erikaebert@140126.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1598080327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TRAFALGAR SQ STE 202",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631968",
            "telephone_number": "603-883-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_2": "Department of Psychiatry",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBERT",
        "first_name": "ERIKA",
        "middle_name": "BETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "16265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "STAGEBERG",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.