Compass Children'S Clinic

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

COMPASS CHILDREN'S CLINIC

Practice address

230 E Conway Rd
Center Conway, NH 03813-4002

Phone

(603) 733-5503

NPI assigned

Jun 2, 2022

Organization subpart

No

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

Authorized official

Name

Tiffany S Roberts

Title

Owner

Phone

(603) 986-3069

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Angela Jope, MSED., BCBA

  • Developmental Therapist
  • Danvers, MA
  • NPI 1215273073
  NPD

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1780323154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E CONWAY RD",
            "city": "CENTER CONWAY",
            "state": "NH",
            "postal_code": "038134002",
            "telephone_number": "603-986-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E CONWAY RD",
            "city": "CENTER CONWAY",
            "state": "NH",
            "postal_code": "038134002",
            "telephone_number": "603-733-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS CHILDREN'S CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-986-3069"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3137575",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Medical Products
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• Chad Boxall
• Quinn Coleman
• Adam Fredrick Cook, PHARMD
• Scott Dahn
• Trung Doan, PHARMD
• Dynamic Anesthesia, PLLC
• Elisabeth Fellows

• Behavior Analyst in Center Conway, NH
• Providers in Center Conway, NH by specialty
• Behavior Analyst in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.