Organization Active NPI

Phyllis Craig, PHD, Inc

  • Psychologist
  • Exeter, NH
National Provider Identifier
1669842183
Registry record updated Sep 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1033 Issued in NH
Legal business name
PHYLLIS CRAIG, PHD, INC
Practice address
24 Front St
Exeter, NH 03833-2727
Phone
(603) 778-0505
Fax
(603) 772-6761
NPI assigned
Sep 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2015

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

Authorized official

Name
Ms. Phyllis Lee Craig, PHDNPI 1528182490
Title
Provider
Phone
(603) 778-0505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 1033 NH Primary

Addresses

Primary practice location

24 Front St
Exeter, NH 03833-2727

Mailing address

24 Front St
Exeter, NH 03833-2727
Phone (603) 778-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151207001098 NH Part B Supplier - Clinic/Group Practice 1557661048 Receives reassigned benefits from 1 practitioner
Practice locations: Exeter, NH

National Provider Directory

National Provider Directory

Locations

24 Front St
Ste 200
Exeter, NH 03833
Phone (603) 778-0505

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1443225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443225600000",
    "number": "1669842183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRONT ST",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332727",
            "telephone_number": "603-778-0505",
            "fax_number": "603-772-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FRONT ST",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332727",
            "telephone_number": "603-778-0505",
            "fax_number": "603-772-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS CRAIG, PHD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-26",
        "last_updated": "2015-09-26",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "603-778-0505",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NH",
            "license": "1033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2015; 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.