NPIMap

Organization Active NPI

Lara Kroodsma, PSYD, PLLC

  • Community/Behavioral Health Agency
  • Peterborough, NH
National Provider Identifier
1891050530
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1189 Issued in NH
Legal business name
LARA KROODSMA, PSYD, PLLC
Practice address
25B Steele Rd
Peterborough, NH 03458
Phone
(603) 848-3387
Fax
(866) 831-4172
NPI assigned
Jul 9, 2012
Last updated
Jul 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Lara Kroodsma, PSYDNPI 1972642809
Title
Licensed Psychologist
Phone
(603) 848-3387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1189 NH Primary

Addresses

Primary practice location

25B Steele Rd
Peterborough, NH 03458

Mailing address

25B Steele Rd
Peterborough, NH 03458
Phone (603) 848-3387

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1891050530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25B STEELE RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "03458",
            "telephone_number": "603-848-3387",
            "fax_number": "866-831-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25B STEELE RD",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "03458",
            "telephone_number": "603-848-3387",
            "fax_number": "866-831-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARA KROODSMA, PSYD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "KROODSMA",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "603-848-3387",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NH",
            "license": "1189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peterborough, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.