NPIMap

Organization Active NPI

Catherine Fatina, P.a.

  • Clinical Social Worker
  • Portsmouth, NH
National Provider Identifier
1932315405
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116 Issued in NH
Legal business name
CATHERINE FATINA, P.A.
Practice address
1 Greenleaf Woods Dr Unit 302
Portsmouth, NH 03801-5437
Phone
(603) 431-2033
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Catherine FatinaNPI 1821120734
Title
President
Phone
(603) 431-2033

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 116 NH Primary

Addresses

Primary practice location

1 Greenleaf Woods Dr Unit 302
Portsmouth, NH 03801-5437

Mailing address

1 Greenleaf Woods Dr Unit 302
Portsmouth, NH 03801-5437
Phone (603) 431-2033

Other identifiers 1

IdentifierTypeStateIssuer
30007166MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090410000179 NH Part B Supplier - Clinic/Group Practice 6800943705 Receives reassigned benefits from 1 practitioner
Practice locations: Portsmouth, NH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932315405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GREENLEAF WOODS DR UNIT 302",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015437",
            "telephone_number": "603-431-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GREENLEAF WOODS DR UNIT 302",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015437",
            "telephone_number": "603-431-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE FATINA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FATINA",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-431-2033"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30007166",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.