Organization Active NPI

Robert Kaladish MD PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Amherst, NH
National Provider Identifier
1962055780
Registry record updated Jul 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ROBERT KALADISH MD PLLC
Practice address
109 Ponemah Rd Ste 2
Amherst, NH 03031-2834
Phone
(603) 673-5558
NPI assigned
Jul 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2019

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

Authorized official

Name
Dr. Robert Kaladish, MDNPI 1225103195
Title
Physician, Owner and Manager
Phone
(603) 673-5558

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

109 Ponemah Rd Ste 2
Amherst, NH 03031-2834

Mailing address

PO Box 130
Wilton, NH 03086-0130
Phone (603) 673-5558

National Provider Directory

National Provider Directory

Locations

109 Ponemah Rd
Ste 2
Amherst, NH 03031
Phone (603) 672-6300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1563667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563667200000",
    "number": "1962055780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "WILTON",
            "state": "NH",
            "postal_code": "030860130",
            "telephone_number": "603-673-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PONEMAH RD STE 2",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312834",
            "telephone_number": "603-673-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT KALADISH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-21",
        "last_updated": "2019-07-21",
        "status": "A",
        "authorized_official_last_name": "KALADISH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER AND MANAGER",
        "authorized_official_telephone_number": "603-673-5558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2019; 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.