Active NPI
Institute Brazil USA International
- Clinical Psychologist
- Nashua, NH
National Provider Identifier
1912651597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- INSTITUTE BRAZIL USA INTERNATIONAL
- Practice address
- 84 Lake St
Nashua, NH 03060-4431 - Phone
- (603) 341-0217
- NPI assigned
- Feb 11, 2022
- Last updated
- Feb 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Isabel Gontijo, PHD
- Title
- Clinical Psychology
- Phone
- (603) 341-0217
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Neuropsychologist | 103G00000X | NU | ||
| Psychologist | 103T00000X | NU | ||
| Clinical Psychologist | 103TC0700X | NU | Primary | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | NU | ||
| Family Psychologist | 103TF0000X | NU | ||
| Forensic Psychologist | 103TF0200X | NU | ||
| Rehabilitation Psychologist | 103TR0400X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | ||
| School Social Worker | 1041S0200X | NU | ||
| Nutritionist | 133N00000X | NU | ||
| Acupuncturist | 171100000X | NU | ||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | NU | ||
| Physical Therapist | 225100000X | NU | ||
| Community Health Worker | 172V00000X | NU |
Addresses
Primary practice location
84 Lake St
Nashua, NH 03060-4431
Mailing address
84 Lake St
Nashua, NH 03060-4431
Phone (603) 341-0217
National Provider Directory
National Provider DirectoryLocations
84 Lake St
Nashua, NH 03060
Phone (603) 341-0217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644537600000",
"number": "1912651597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 LAKE ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030604431",
"telephone_number": "603-341-0217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 LAKE ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030604431",
"telephone_number": "603-341-0217"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSTITUTE BRAZIL USA INTERNATIONAL",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-11",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A",
"authorized_official_last_name": "GONTIJO",
"authorized_official_first_name": "ISABEL",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGY",
"authorized_official_telephone_number": "603-341-0217",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.