Provider Demographics
NPI:1447800404
Name:THE TMS COLLABORATIVE PLLC
Entity Type:Organization
Organization Name:THE TMS COLLABORATIVE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:BELLIVEAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-778-0505
Mailing Address - Street 1:9 HAMPTON RD UNIT 2
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-4807
Mailing Address - Country:US
Mailing Address - Phone:603-988-2561
Mailing Address - Fax:603-395-4122
Practice Address - Street 1:9 HAMPTON RD UNIT 2
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-4807
Practice Address - Country:US
Practice Address - Phone:603-988-2561
Practice Address - Fax:603-395-4122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-12
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1235232455OtherNPI NUMBER
NHRE5233Medicaid