Individual provider Active NPI

William Griffith, PH.D.

  • Clinical Psychologist
  • Portsmouth, NH
National Provider Identifier
1780734814
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
768 Issued in NH
Practice address
278 Lafayette Rd
BLDG E
Portsmouth, NH 03801-5455
Phone
(603) 436-0854
Fax
(603) 431-8186
NPI assigned
Jan 11, 2007
Last updated
Mar 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 768 NH Primary

Addresses

Primary practice location

278 Lafayette Rd
BLDG E
Portsmouth, NH 03801-5455

Mailing address

278 Lafayette Rd
BLDG E
Portsmouth, NH 03801-5455
Phone (603) 436-0854

Other identifiers 1

IdentifierTypeStateIssuer
40008818MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114001239 NH Practitioner - Clinical Psychologist 0648299164 Practice locations: Portsmouth, NH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

278 Lafayette Rd
Portsmouth, NH 03801-5455
Phone (603) 431-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
768NHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1780734814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 LAFAYETTE RD",
            "address_2": "BLDG E",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015455",
            "telephone_number": "603-436-0854",
            "fax_number": "603-431-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 LAFAYETTE RD",
            "address_2": "BLDG E",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015455",
            "telephone_number": "603-436-0854",
            "fax_number": "603-431-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "WILLIAM",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40008818",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.