NPIMap

Organization Active NPI

Kevin Gersh

  • Behavior Analyst
  • Concord, NH
National Provider Identifier
1730852286
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KEVIN GERSH
Practice address
57 Regional Dr Ste 7
Concord, NH 03301-8518
Phone
(603) 224-7630
Fax
(603) 410-1105
NPI assigned
Jul 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Christi Heath, BCBA
Title
Regional Director of Operations
Phone
(603) 387-3187

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

57 Regional Dr Ste 7
Concord, NH 03301-8518

Mailing address

57 Regional Dr Ste 7
Concord, NH 03301-8518
Phone (603) 224-7630

Other practice location 1

580 Laconia Rd
Tilton, NH 03276-5321
Phone (603) 224-7630 ext. 4

Other practice location 2

470 Pine St Ste 1
Manchester, NH 03104-6223
Phone (603) 224-7630 ext. 4

Other identifiers 3

IdentifierTypeStateIssuer
3132199MedicaidNH
3132184MedicaidNH
3132207MedicaidNH

Other names 1

  • Ready Set Connect, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kevin Gersh2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

470 Pine St
Ste 1
Manchester, NH 03104
Phone 6032247630 ext. 4

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1730852286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 REGIONAL DR STE 7",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033018518",
            "telephone_number": "603-224-7630",
            "fax_number": "603-410-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 REGIONAL DR STE 7",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033018518",
            "telephone_number": "603-224-7630",
            "fax_number": "603-410-1105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 Laconia Rd",
            "address_purpose": "LOCATION",
            "city": "Tilton",
            "state": "NH",
            "postal_code": "032765321",
            "country_code": "US",
            "telephone_number": "603-224-7630 x4",
            "fax_number": "603-410-1105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "470 Pine St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031046223",
            "country_code": "US",
            "telephone_number": "603-224-7630 x4",
            "fax_number": "603-410-1105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEVIN GERSH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "603-387-3187",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3132199",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3132184",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3132207",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ready Set Connect, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ready Set Connect, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.