Organization Active NPI

Neurodevelopmental Institute of New Hampshire, LLC

  • Clinical Neuropsychologist
  • Hooksett, NH
National Provider Identifier
1902007677
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
994 Issued in NH
Legal business name
NEURODEVELOPMENTAL INSTITUTE OF NEW HAMPSHIRE, LLC
Practice address
171 Londonderry Turnpike
Hooksett, NH 03106
Phone
(603) 621-9870
Fax
(603) 621-9875
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Authorized official

Name
Dr. Susan E McLaughlin-Beltz, PH.D.NPI 1184893299
Title
Owner/President
Phone
(603) 621-9870

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 994 NH Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 994 NH

Addresses

Primary practice location

171 Londonderry Turnpike
Hooksett, NH 03106

Mailing address

171 Londonderry Turnpike
Hooksett, NH 03106
Phone (603) 621-9870

Other identifiers 3

IdentifierTypeStateIssuer
11662811OtherNHCIGNA
30422737MedicaidNH
06Y008256NH01OtherNHANTHEM

Other names 1

  • Mont Blanc Academy Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210409000348 NH Part B Supplier - Clinic/Group Practice 7113335233 Receives reassigned benefits from 2 practitioners
Practice locations: Hooksett, NH

National Provider Directory

National Provider Directory

Locations

171 Londonderry Tpke
Manchester, NH 03106
Phone (603) 621-9870

77 Pearl St
Manchester, NH 03101
Phone (603) 621-9870

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": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1902007677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 LONDONDERRY TURNPIKE",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "03106",
            "telephone_number": "603-621-9870",
            "fax_number": "603-621-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 LONDONDERRY TURNPIKE",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "03106",
            "telephone_number": "603-621-9870",
            "fax_number": "603-621-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODEVELOPMENTAL INSTITUTE OF NEW HAMPSHIRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN-BELTZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "603-621-9870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NH",
            "license": "994",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NH",
            "license": "994",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "11662811",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30422737",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "06Y008256NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mont Blanc Academy Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mont Blanc Academy Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hooksett, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.