NPIMap

Organization Active NPI

Mount Washington Valley Psychological Services, LLC

  • Psychologist
  • Conway, NH
National Provider Identifier
1861600405
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MOUNT WASHINGTON VALLEY PSYCHOLOGICAL SERVICES, LLC
Practice address
81 Washington St
Conway, NH 03818-6044
Phone
(603) 447-2453
Fax
(603) 447-2450
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Dr. Scott Allen Gustafson, PH.D.NPI 1407916216
Title
Partner
Phone
(603) 447-2453

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

81 Washington St
Conway, NH 03818-6044

Mailing address

81 Washington St
PO Box 2726
Conway, NH 03818-6044
Phone (603) 447-2453

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1861600405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 WASHINGTON ST",
            "address_2": "PO BOX 2726",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038186044",
            "telephone_number": "603-447-2453",
            "fax_number": "603-447-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 WASHINGTON ST",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038186044",
            "telephone_number": "603-447-2453",
            "fax_number": "603-447-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT WASHINGTON VALLEY PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "603-447-2453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.