Individual provider Active NPI

Ellette Dipietro, MS

  • Clinical Psychologist
  • Concord, NH
National Provider Identifier
1902208325
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1500 Issued in NH
Practice address
187 N State St
Concord, NH 03301-5020
Phone
(603) 856-8163
Fax
(603) 856-8164
NPI assigned
Sep 17, 2014
Last updated
Oct 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1500 NH Primary

Addresses

Primary practice location

187 N State St
Concord, NH 03301-5020

Mailing address

187 N State St
Concord, NH 03301-5020
Phone (603) 856-8163

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210212000027 NH Practitioner - Clinical Psychologist 5092120600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Counseling Connections, PLLCGroup PAC ID 8820268154, 6 clinicians

Practice addresses (Care Compare)

187 N State St
Concord, NH 03301-5020
Phone (603) 856-8163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1500NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Counseling Connections PLLC Mental Health CurrentSince Feb 8, 2021 Accepting new patients
Central New Hampshire Oral Surgery, PA PastSince Feb 8, 2021 Accepting new patients
Riverbend Community Mental Health, Inc. PastSince Aug 26, 2023 Accepting new patients

Locations

514 South St
Bow, NH 03304
Phone (603) 224-3151

187 N State St
Concord, NH 03301
Phone (603) 228-9050

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1902208325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 N STATE ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015020",
            "telephone_number": "603-856-8163",
            "fax_number": "603-856-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 N STATE ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015020",
            "telephone_number": "603-856-8163",
            "fax_number": "603-856-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPIETRO",
        "first_name": "ELLETTE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.