NPIMap

Organization Active NPI

LDS Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nashua, NH
National Provider Identifier
1740318716
Registry record updated Jan 31, 2013
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
LDS FAMILY SERVICES
Practice address
547 Amherst St
Suite 404
Nashua, NH 03063-4000
Phone
(603) 889-0148
Fax
(603) 889-4358
NPI assigned
Mar 1, 2007
Organization subpart
Yes
Parent organization
LDS FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Dr. Derek Willis Hagey, PH.D.NPI 1871720888
Title
Counseling Manager
Phone
(603) 889-0148

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

547 Amherst St
Suite 404
Nashua, NH 03063-4000

Mailing address

547 Amherst St
Suite 404
Nashua, NH 03063-4000
Phone (603) 889-0148

Other names 1

  • LDS Family Services New Hampshire Office Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Robert D Smith PHD46 organizations share this tax ID, including this one
Part of
Robert D Smith PHD

Other organizations with this tax ID 45

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

View all 45

Locations

547 Amherst St
Ste 404
Nashua, NH 03063
Phone (603) 889-0148

Practitioners & affiliated clinicians

Practitioners 1

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1740318716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 AMHERST ST",
            "address_2": "SUITE 404",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030634000",
            "telephone_number": "603-889-0148",
            "fax_number": "603-889-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 AMHERST ST",
            "address_2": "SUITE 404",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030634000",
            "telephone_number": "603-889-0148",
            "fax_number": "603-889-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LDS FAMILY SERVICES",
        "enumeration_date": "2007-03-01",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "HAGEY",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "WILLIS",
        "authorized_official_title_or_position": "COUNSELING MANAGER",
        "authorized_official_telephone_number": "603-889-0148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LDS Family Services New Hampshire Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.