Granite Counseling and Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1319 Issued in NH

Legal business name

GRANITE COUNSELING AND PSYCHOLOGICAL SERVICES, LLC

Practice address

1281 Main St
Dublin, NH 03444-8245

Phone

(603) 924-7664

NPI assigned

Oct 11, 2017

Last updated

Oct 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Edwards, PSYDNPI 1033483581

Title

Owner

Phone

(603) 924-7664

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Practitioners 2

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.

• Daniel Edwards, PSYD

  • Clinical Psychologist
  • Boston, MA
  • NPI 1033483581

  NH

  Medicare reassignment NPD Authorized official
• Leigh E. Bryant, MSW, LICSW

  • Clinical Social Worker
  • Dracut, MA
  • NPI 1376624122
  NPD

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1942710330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SCHOOL ST",
            "city": "HANCOCK",
            "state": "NH",
            "postal_code": "034495300",
            "telephone_number": "857-488-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 MAIN ST",
            "city": "DUBLIN",
            "state": "NH",
            "postal_code": "034448245",
            "telephone_number": "603-924-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE COUNSELING AND PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-924-7664",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Lyn Burns
• Marylou Cassidy, APRN
• Children's Dentistry of Dublin PLLC
• Ross Whitney Davidson, LCMHC, MLADC
• Ross A Garofalo, BA
• Integrative Health & Wellness Clinic
• Lauren Marcoullier, DC, ND
• Montshire Dublin PC (Montshire Pediatric Dentistry)
• New Hampshire Detox and Rehab
• Phoenix Houses of NE

• Clinical Psychologist in Dublin, NH
• Providers in Dublin, NH by specialty
• Clinical Psychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.