Bette Lewicke, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

810 Issued in NH

Practice address

1 Main St
Nashua, NH 03064-2716

Phone

(603) 883-0005

Fax

(603) 883-0007

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: ccn.bettelewicke@140126.advancedmd-direct.com

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1992757520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MAIN ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030642716",
            "telephone_number": "603-883-0005",
            "fax_number": "603-883-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIN ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030642716",
            "telephone_number": "603-883-0005",
            "fax_number": "603-883-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWICKE",
        "first_name": "BETTE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NH",
            "license": "810",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "810",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NH",
            "license": "810",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NH",
            "license": "810",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30425213",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Levi, M.D.
• Gilbert David Levine, M.D.
• Jeffrey Levine, LICSW
• Robert A Levine, M.D., FACE
• Levitt Medical, P.a.
• Johanna M. Lewis-Esquerre, PHD.
• Carol L Lewis, OTR
• Diana Y. Lewis, M. A., CCC-SLP
• Elizabeth Jane Lewis, ATC
• Jessica Marie Lewis, C.N.M.

• Clinical Neuropsychologist in Nashua, NH
• Providers in Nashua, NH by specialty
• Clinical Neuropsychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.