Active NPI
Gerald Mark Coates, MS
- School Psychologist
- Lebanon, NH
National Provider Identifier
1902542491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 40825
- Practice address
- 3 Moulton Ave
Lebanon, NH 03766-1852 - Phone
- (603) 667-6148
- NPI assigned
- May 9, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 40825 | NH | Primary |
Addresses
Primary practice location
3 Moulton Ave
Lebanon, NH 03766-1852
Mailing address
3 Moulton Ave
Lebanon, NH 03766-1852
Phone (603) 448-3056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40825 | NH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1902542491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MOULTON AVE",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661852",
"telephone_number": "603-448-3056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MOULTON AVE",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661852",
"telephone_number": "603-667-6148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COATES",
"first_name": "GERALD",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-09",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NH",
"license": "40825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.