The Community Diversion Program

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1548 Issued in NH

Legal business name

THE COMMUNITY DIVERSION PROGRAM

Practice address

440 Portsmouth Ave
Greenland, NH 03840-2222

Phone

(603) 430-8570

Fax

(603) 436-7219

NPI assigned

Oct 29, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Jacqueline Marie Valley

Title

Executive Director

Phone

(603) 430-8570

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abigail Aldous, LICSW

  • Professional Counselor
  • Greenland, NH
  • NPI 1912209990
  NPD (past)

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1922308543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 PORTSMOUTH AVE",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038402222",
            "telephone_number": "603-430-8570",
            "fax_number": "603-436-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 PORTSMOUTH AVE",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038402222",
            "telephone_number": "603-430-8570",
            "fax_number": "603-436-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMUNITY DIVERSION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "VALLEY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "603-430-8570",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NH",
            "license": "1548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Soucie
• Shantel Surles, LMT
• Megan Dawn Swenson, LMT
• Vanessa Lee Sychak
• Jennifer Taylor, N.D.
• Three Rivers Dental PLLC
• Zoe Torres, LMT
• Town of Greenland, NH
• Ariel Elizabeth Wahl
• Marilyn Wanyo, LICSW

• Community/Behavioral Health Agency in Greenland, NH
• Providers in Greenland, NH by specialty
• Community/Behavioral Health Agency in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.