Organization Active NPI

Katalyst Psychological Family Center

  • Psychologist
  • Manchester, NH
National Provider Identifier
1780051359
Registry record updated Aug 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1284 Issued in NH
Legal business name
KATALYST PSYCHOLOGICAL FAMILY CENTER
Practice address
65 Middle St
Manchester, NH 03101-1905
Phone
(603) 213-0700
NPI assigned
Aug 30, 2015
Last updated
Aug 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2015

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

Authorized official

Name
Dr. Katerina Tolstikova, PH.D.
Title
Owner
Phone
(603) 213-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1284 NH Primary

Addresses

Primary practice location

65 Middle St
Manchester, NH 03101-1905

Mailing address

17 Olde Lantern Rd
Bedford, NH 03110-4815

National Provider Directory

National Provider Directory

Locations

18 Shawmut St
Boston, MA 02116
Phone (603) 206-5844

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1440892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440892800000",
    "number": "1780051359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 OLDE LANTERN RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031104815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MIDDLE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011905",
            "telephone_number": "603-213-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATALYST PSYCHOLOGICAL FAMILY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-30",
        "last_updated": "2015-08-30",
        "status": "A",
        "authorized_official_last_name": "TOLSTIKOVA",
        "authorized_official_first_name": "KATERINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-213-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "1284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2015; 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.