Provider Demographics
NPI:1982642906
Name:KAY, JEFFREY AMES (THD, PSYD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:AMES
Last Name:KAY
Suffix:
Gender:M
Credentials:THD, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 506
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-0506
Mailing Address - Country:US
Mailing Address - Phone:603-444-5826
Mailing Address - Fax:
Practice Address - Street 1:111 SARANAC ST
Practice Address - Street 2:STE 16
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-4093
Practice Address - Country:US
Practice Address - Phone:603-444-5826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH786103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH80004003Medicaid
NHRE 4003Medicare ID - Type Unspecified