Elizabeth Doppler-Bourassa, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1152 Issued in NH

Practice address

130 Central Ave
Unit #203
Dover, NH 03820-4042

Phone

(603) 512-1218

NPI assigned

Mar 18, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Village Counsel, PLLC

  • Clinical Psychologist
  • Dover, NH
  • NPI 1750768420
  NPD (past) Authorized official

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1699099754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CENTRAL AVE",
            "address_2": "UNIT #203",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204042",
            "telephone_number": "603-512-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CENTRAL AVE",
            "address_2": "UNIT #203",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204042",
            "telephone_number": "603-512-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOPPLER-BOURASSA",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katerina Angelica Dondero, CNM, APRN
• Robert F Donnell, M.D.
• Elle Marie Donnelly, DMD
• Kevin Michael Donovan, DO
• William Edwin Dooley, PT
• Julia Doucett
• Elizabeth Ann Dougherty, M.D.
• Hannah Douglas, PT, DPT
• Dover Childrens Home
• Dover Dental Associates, LLP

• Clinical Psychologist in Dover, NH
• Providers in Dover, 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 May 1, 2015; 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.