Individual provider Active NPI

Salud Poblete Mendoza, MD

  • Geriatric Psychiatry Physician
  • Newmarket, NH
National Provider Identifier
1871757666
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
15452 Issued in NH
Practice address
74 Pear Tree LN
Newmarket, NH 03857
Phone
(313) 213-8073
NPI assigned
Jul 11, 2008
Last updated
Jul 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 15452 NH Primary

Addresses

Primary practice location

74 Pear Tree LN
Newmarket, NH 03857

Mailing address

74 Pear Tree LN
Newmarket, NH 03857-1846
Phone (313) 213-8073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120926000432 NH Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 0941459523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians
Life Management for Adults PLLCGroup PAC ID 1355607490, 3 clinicians

Practice addresses (Care Compare)

11 Whitehall Rd
Rochester, NH 03867-3226
Phone (603) 332-5211

20 Ladd St
FL 4
Portsmouth, NH 03801-4087
Phone (603) 205-2953

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Appledore Medical Group, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Appledore Medical Group, Inc CurrentSince Mar 1, 2020 Accepting new patients
Life Management for Adults PLLC CurrentSince Apr 1, 2020 Accepting new patients
HCA Health Services of New Hampshire Inc Past Accepting new patients
HCA Health Services of New Hampshire Inc Past Accepting new patients

Locations

20 Ladd St
Fl 4
Portsmouth, NH 03801
Phone (603) 205-2953

20 Ladd St
Ste 412
Portsmouth, NH 03801

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1871757666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 PEAR TREE LN",
            "city": "NEWMARKET",
            "state": "NH",
            "postal_code": "038571846",
            "telephone_number": "313-213-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 PEAR TREE LN",
            "city": "NEWMARKET",
            "state": "NH",
            "postal_code": "03857",
            "telephone_number": "313-213-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "SALUD",
        "middle_name": "POBLETE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NH",
            "license": "15452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newmarket, NH

Sources for this page

Verify at the official NPI Registry.