Alicia Ann Macdougall, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1634 Issued in NH

Practice address

163 Washington St
Keene, NH 03431-3131

Phone

(203) 826-2567

NPI assigned

May 14, 2021

Last updated

Mar 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, NH3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Clinical Psychologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mountain Wellness Associates

  • Clinical Psychologist
  • Keene, NH
  • NPI 1710437066
  NPD
• Connecticut Children's Specialty Group, Inc.

  • Ophthalmology Physician
  • Glastonbury, CT
  • NPI 1568056984
  NPD
• Connecticut Children's Specialty Group, Inc.

  • Pediatrics Physician
  • Hartford, CT
  • NPI 1669448882
  NPD

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1649844663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 VERRY BROOK RD",
            "city": "WINCHESTER",
            "state": "NH",
            "postal_code": "034702341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 WASHINGTON ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313131",
            "telephone_number": "203-826-2567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Avon St",
            "address_purpose": "LOCATION",
            "city": "Keene",
            "state": "NH",
            "postal_code": "034313516",
            "country_code": "US",
            "telephone_number": "603-352-1024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Emerald St Ste 217",
            "address_purpose": "LOCATION",
            "city": "Keene",
            "state": "NH",
            "postal_code": "034313619",
            "country_code": "US",
            "telephone_number": "203-215-9718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "146 School St",
            "address_purpose": "LOCATION",
            "city": "Keene",
            "state": "NH",
            "postal_code": "034313315",
            "country_code": "US",
            "telephone_number": "203-215-9718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACDOUGALL",
        "first_name": "ALICIA",
        "middle_name": "ANN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "004301",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "004301",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin P Lyness, PHD
• Lynn Boudreau PT II LLC (Boudreau Physical Therapy Associates)
• Jacqueline Marie Lyon, M.D.
• Reuben M Lyons, PTA
• Austin Curtis Mabry
• Kaitlyn E Mack
• Kristin Marie Mackenzie, PTA
• Sadie Mackillop, MS
• Kevin Maclean
• Christina Macmaster

• Clinical Psychologist in Keene, NH
• Providers in Keene, NH by specialty
• Clinical Psychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.