Organization Active NPI

Capitol Psychology Services, PLLC

  • Clinical Psychologist
  • Concord, NH
National Provider Identifier
1881052140
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1156 Issued in NH
Legal business name
CAPITOL PSYCHOLOGY SERVICES, PLLC
Practice address
50 Pleasant St
Concord, NH 03301-4073
Phone
(603) 545-8355
Fax
(603) 715-2121
NPI assigned
Feb 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Denise Leville, PH . D
Title
Sole Proprietor
Phone
(603) 545-8355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1156 NH Primary

Addresses

Primary practice location

50 Pleasant St
Concord, NH 03301-4073

Mailing address

50 Pleasant St
Concord, NH 03301-4073
Phone (603) 545-8355

Other identifiers 1

IdentifierTypeStateIssuer
3079775MedicaidNH

National Provider Directory

National Provider Directory

Locations

50 Pleasant St
Concord, NH 03301
Phone (603) 545-8355

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1881052140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014073",
            "telephone_number": "603-545-8355",
            "fax_number": "603-715-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014073",
            "telephone_number": "603-545-8355",
            "fax_number": "603-715-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL PSYCHOLOGY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "LEVILLE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "603-545-8355",
        "authorized_official_credential": "PH . D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3079775",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.