Individual provider Active NPI

Kristen L Seymour, MA, CAGS

  • School Psychologist
  • Sandown, NH
National Provider Identifier
1861077828
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
100372 Issued in NH
Practice address
295 Main St
Sandown, NH 03873-2647
Phone
(603) 887-3648
NPI assigned
Mar 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 100372 NH Primary

Addresses

Primary practice location

295 Main St
Sandown, NH 03873-2647

Mailing address

53 Old Sandown Rd
Chester, NH 03036-4124
Phone (603) 244-0121

Other practice location 1

23 Stagecoach Rd
Sandown, NH 03873-2123
Phone (603) 887-8503 ext. 7539

Other identifiers 1

IdentifierTypeStateIssuer
3075434MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
100372NHMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1861077828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 OLD SANDOWN RD",
            "city": "CHESTER",
            "state": "NH",
            "postal_code": "030364124",
            "telephone_number": "603-244-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MAIN ST",
            "city": "SANDOWN",
            "state": "NH",
            "postal_code": "038732647",
            "telephone_number": "603-887-3648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Stagecoach Rd",
            "address_purpose": "LOCATION",
            "city": "Sandown",
            "state": "NH",
            "postal_code": "038732123",
            "country_code": "US",
            "telephone_number": "603-887-8503 x7539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "KRISTEN",
        "middle_name": "L",
        "credential": "MA, CAGS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NH",
            "license": "100372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075434",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandown, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.