Active NPI
Phyllis Craig, PHD, Inc
- Psychologist
- Exeter, NH
National Provider Identifier
1669842183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1033
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Phyllis Lee Craig, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151207001098 | NH | Part B Supplier - Clinic/Group Practice | 1557661048 |
Receives reassigned benefits from 1 practitioner Practice locations: Exeter, NH |
National Provider Directory
National Provider DirectoryLocations
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.