Individual provider Active NPI

Arun Krishnan, MBBS

  • Child & Adolescent Psychiatry Physician
  • Nashua, NH
National Provider Identifier
1790198265
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
17575 Issued in NH
Practice address
15 Trafalgar SQ Ste 202
Nashua, NH 03063-1968
Phone
(603) 883-0005
Fax
(603) 883-0007
NPI assigned
Jun 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 17575 NH Primary

Addresses

Primary practice location

15 Trafalgar SQ Ste 202
Nashua, NH 03063-1968

Mailing address

1 Main St
Nashua, NH 03064-2716
Phone (603) 883-0005

Other practice location 1

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 668-4079

Other practice location 2

1056 River Rd
Manchester, NH 03104-1958
Phone (603) 665-1580

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://counselingcenter.com/provider/arun-krishnan/ Direct

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160914001079 NH Practitioner - Psychiatry 3870889017 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17575NHMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Professional Services Child & Adolescent Psychiatry CurrentSince Jul 31, 2016 Accepting new patients
The Counseling Center of Nashua Inc CurrentSince Jan 15, 2024 Accepting new patients
Elliot Professional Services Child & Adolescent Psychiatry PastSince Jul 31, 2016 Accepting new patients

Locations

445 Cypress St
Ste 8
Manchester, NH 03103
Phone (603) 552-1670

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

1 Main St
Nashua, NH 03064
Phone (603) 689-7978

15 Trafalgar Sq
Ste 202
Nashua, NH 03063
Phone (603) 689-7947

Interoperability endpoints

  • Direct secure messaging: ccn.arunkrishnan@140126.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1790198265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MAIN ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030642716",
            "telephone_number": "603-883-0005",
            "fax_number": "603-883-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TRAFALGAR SQ STE 202",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631968",
            "telephone_number": "603-883-0005",
            "fax_number": "603-883-0007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Elliot Way",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031033502",
            "country_code": "US",
            "telephone_number": "603-668-4079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1056 River Rd",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031041958",
            "country_code": "US",
            "telephone_number": "603-665-1580",
            "fax_number": "603-668-4143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "ARUN",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NH",
            "license": "17575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://counselingcenter.com/provider/arun-krishnan/",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "1 Main St",
            "city": "Nashua",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030642716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.