Further Care P a

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

14095 Issued in NH

Legal business name

FURTHER CARE P A

Practice address

330 Borthwick Ave Ste 111
Portsmouth, NH 03801-7110

Phone

(603) 294-4424

Fax

(603) 319-1603

NPI assigned

Nov 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Michel Juan Rondon Vidal, M.D.

Title

President

Phone

(603) 294-4424

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1801226071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE STE 111",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017110",
            "telephone_number": "603-294-4424",
            "fax_number": "603-319-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE STE 111",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017110",
            "telephone_number": "603-294-4424",
            "fax_number": "603-319-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FURTHER CARE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "RONDON VIDAL",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_middle_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-294-4424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "14095",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NH",
            "license": "14095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoko Fukuda, M.D.
• Full Bloom Wellness, LLC
• Debbie Fuller, BS
• Sarah Fuller, BCBA
• Jacob Furcolo
• Kelsey M Fusco, MS
• Leila Fussell
• Lindsey M Gagne, OTR/L
• Michelle Gagne, MSW
• David R Gagnon, MD

• Psychiatry Physician in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Psychiatry Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.