Organization Active NPI

Reinvigorate Wellness

  • Community/Behavioral Health Agency
  • Derry, NH
National Provider Identifier
1851007686
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REINVIGORATE WELLNESS
Practice address
19 Schurman Dr
Derry, NH 03038-1620
Phone
(978) 870-6975
NPI assigned
Jan 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Mrs. Taryn Leigh Staples, LICSWNPI 1831535400
Title
Manager/ Psychotherapist
Phone
(978) 870-6975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

19 Schurman Dr
Derry, NH 03038-1620

Mailing address

PO Box 168
Derry, NH 03038-0168
Phone (978) 870-6975

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1851007686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030380168",
            "telephone_number": "978-870-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SCHURMAN DR",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381620",
            "telephone_number": "978-870-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REINVIGORATE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "STAPLES",
        "authorized_official_first_name": "TARYN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "MANAGER/ PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "978-870-6975",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.