Individual provider Active NPI

Karyn Gunnet-Shoval, PHD

  • Counseling Psychologist
  • Hanover, NH
National Provider Identifier
1699372946
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1502 Issued in NH
Practice address
23 S Main St
Hanover, NH 03755-2075
Phone
(603) 277-9110
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1502 NH Primary

Addresses

Primary practice location

23 S Main St
Hanover, NH 03755-2075

Mailing address

160 Castle Hill Ave
Great Barrington, MA 01230-1031
Phone (603) 277-9110

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@hanoverpsychiatry.net DARTMOUTH HITCHCOCK MEDICAL CENTER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 15, 2021 through Feb 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1502NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DRGS Psych SVCS LLC Counseling CurrentSince Feb 25, 2024 Accepting new patients

Locations

15 Constitution Dr
Fl 1
Bedford, NH 03110
Phone (844) 955-1440

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1699372946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CASTLE HILL AVE",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301031",
            "telephone_number": "603-277-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S MAIN ST",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552075",
            "telephone_number": "603-277-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNET-SHOVAL",
        "first_name": "KARYN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NH",
            "license": "1502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@hanoverpsychiatry.net",
            "affiliation": "Y",
            "affiliationName": "DARTMOUTH HITCHCOCK MEDICAL CENTER",
            "address_1": "23 S Main St",
            "city": "Hanover",
            "state": "NH",
            "country_code": "US",
            "postal_code": "037552075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hanover, NH

Sources for this page

Verify at the official NPI Registry.