Active NPI
Elizabeth Blencowe, MD
- Psychiatry Physician
- Manchester, NH
National Provider Identifier
1689743551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 10067
- Practice address
- 1555 Elm St
Manchester, NH 03101-1203 - Phone
- (603) 668-4111
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 10067 | NH | Primary |
Addresses
Primary practice location
1555 Elm St
Manchester, NH 03101-1203
Mailing address
2 Wall St Ste 300
Manchester, NH 03101-1518
Phone (603) 668-4111
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0107918Y0NH01 | Other | NH | BLUE CROSS |
| 020258994-12 | Other | NH | HARVARD PILGRIM |
| 86583 | Other | NH | CIGNA |
Other names 1
- Elizabeth Block
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | TheMentalHealthCenterofGreaterManchester@mhcgm.netsmartdirect.net | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10067 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1689743551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 WALL ST STE 300",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031011518",
"telephone_number": "603-668-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 ELM ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031011203",
"telephone_number": "603-668-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLENCOWE",
"first_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NH",
"license": "10067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0107918Y0NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "020258994-12",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "86583",
"state": "NH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "TheMentalHealthCenterofGreaterManchester@mhcgm.netsmartdirect.net",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1555 Elm St",
"city": "Manchester",
"state": "NH",
"country_code": "US",
"postal_code": "031011203",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "BLOCK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.