Theodore M Austin, PSYD
Individual provider Active NPI Clinical Psychologist · Warner, NH
NPI 1861762437 · NPPES record last updated Apr 12, 2018
Key facts
- NPI
- 1861762437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1288 (NH)
- Practice address
- 51 E Main St
Warner, NH 03278-4408 - Phone
- (603) 313-1045
- Fax
- (603) 456-3383
- NPI assigned
- Jan 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central New Hampshire Oral Surgery, PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1288 | NH | Yes |
| Psychologist | 103T00000X | 1288 | NH |
Addresses
Primary practice location
51 E Main St
Warner, NH 03278-4408
Mailing address
PO Box 527
Contoocook, NH 03229-0527
Phone (603) 313-1045
Other providers in Warner, NH
- Cynthia Lee Bliss-Kaplan
- Morgan L Church
- Nicole A. Conceicao
- Catherine F. Creed
- Amanda Arue Fernandez
All providers in Warner, NH · Clinical Psychologist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.