Space to Breathe, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1251 Issued in NH

Legal business name

SPACE TO BREATHE, PLLC

Practice address

105 West Main Street
Suite 3
Littleton, NH 03561

Phone

(603) 631-4528

Fax

(888) 822-8323

NPI assigned

Sep 30, 2015

Last updated

Dec 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelly McCann, PH.D.

Title

Psychologist

Phone

(603) 631-4528

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1740650019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WEST MAIN STREET",
            "address_2": "SUITE 3",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "03561",
            "telephone_number": "603-631-4528",
            "fax_number": "888-822-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WEST MAIN STREET",
            "address_2": "SUITE 3",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "03561",
            "telephone_number": "603-631-4528",
            "fax_number": "888-822-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPACE TO BREATHE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "603-631-4528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "1251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023091",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3071687",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kimberly S Sollows, PSYD
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• Tracie B Spencer, LCMHC
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• Samuel Stack, OD

• Psychologist in Littleton, NH
• Providers in Littleton, NH by specialty
• Psychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.