NPIMap

Organization Active NPI

Northern Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Center Conway, NH
National Provider Identifier
1700955028
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NORTHERN HUMAN SERVICES
Practice address
626 Eastman Rd Ste B
Center Conway, NH 03813-4219
Phone
(603) 447-3347
Fax
(603) 447-8893
NPI assigned
Nov 8, 2006
Last updated
Sep 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Shawn Bromley
Title
Chief Financial Officer
Phone
(603) 447-8022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

626 Eastman Rd Ste B
Center Conway, NH 03813-4219

Mailing address

626 Eastman Rd Ste a
Center Conway, NH 03813-4219
Phone (603) 447-3347

Other identifiers 2

IdentifierTypeStateIssuer
3072144MedicaidNH
3076811MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MO6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20040811000916 NH Part B Supplier - Clinic/Group Practice 3173595931 Receives reassigned benefits from 5 practitioners
Practice locations: Colebrook, NH
O20041203000587 NH Part B Supplier - Clinic/Group Practice 3173595931 Receives reassigned benefits from 8 practitioners
Practice locations: Wolfeboro, NH
O20050607001207 NH Part B Supplier - Clinic/Group Practice 3173595931 Receives reassigned benefits from 9 practitioners
Practice locations: Littleton, NH
O20050617000444 NH Part B Supplier - Clinic/Group Practice 3173595931 Receives reassigned benefits from 8 practitioners
Practice locations: Conway, NH
O20060511000028 NH Part B Supplier - Clinic/Group Practice 3173595931 Receives reassigned benefits from 12 practitioners
Practice locations: Berlin, NH
O20191120000963 MO Part B Supplier - Clinic/Group Practice 3173595931 Receives reassigned benefits from 1 practitioner
Practice locations: Wentzville, MO

National Provider Directory

National Provider Directory

Locations

626 Eastman Rd
Ste A
Center Conway, NH 03813

626 Eastman Rd
Ste B
Center Conway, NH 03813
Phone (603) 447-2111

55 Colby St
Colebrook, NH 03576
Phone (603) 237-4955

25 W Main St
Conway, NH 03818
Phone (603) 356-2032

29 Maple St
Littleton, NH 03561
Phone (603) 444-5358

70 Bay St
Wolfeboro, NH 03894
Phone (603) 569-1884

Practitioners & affiliated clinicians

Practitioners 244

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 244

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1700955028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 EASTMAN RD STE A",
            "city": "CENTER CONWAY",
            "state": "NH",
            "postal_code": "038134219",
            "telephone_number": "603-447-3347",
            "fax_number": "603-447-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 EASTMAN RD STE B",
            "city": "CENTER CONWAY",
            "state": "NH",
            "postal_code": "038134219",
            "telephone_number": "603-447-3347",
            "fax_number": "603-447-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "BROMLEY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "603-447-8022"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072144",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076811",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Conway, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.

Verify at the official NPI Registry.