Crotched Mountain Community Care

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

03262 Issued in NH

Legal business name

CROTCHED MOUNTAIN COMMUNITY CARE

Practice address

186 Granite St Ste 3C
Manchester, NH 03101-2643

Phone

(603) 668-7584

Fax

(603) 431-5935

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kara Nickulas

Title

Executive Director

Phone

(603) 831-8657

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1679786131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 GRANITE ST STE 3C",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012643",
            "telephone_number": "603-668-7584",
            "fax_number": "603-431-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 GRANITE ST STE 3C",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012643",
            "telephone_number": "603-668-7584",
            "fax_number": "603-431-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROTCHED MOUNTAIN COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "NICKULAS",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-831-8657",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NH",
            "license": "03262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3079997",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lea Crompton, PT, DPT
• Bonnie Cronin
• Lauren Nicole Cronin, FNP-C
• Brecon Crosby
• Kera Crossman, MS, LAT, ATC
• Kaitlyn Croteau, LICSW
• Heather Crowell
• Sarah Louise Crowell, LCMHC
• David I Crowley, MD
• Heather Lorraine Crowley, M.D.

• Case Management Agency in Manchester, NH
• Providers in Manchester, NH by specialty
• Case Management Agency in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.