Provider Demographics
| NPI: | 1396993259 |
|---|---|
| Name: | NPSS -NEUROPSYCHOLOGICAL & PSYCHOLOGICAL SERVICES FOR THE SEACOAST, PL |
| Entity type: | Organization |
| Organization Name: | NPSS -NEUROPSYCHOLOGICAL & PSYCHOLOGICAL SERVICES FOR THE SEACOAST, PL |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CLINICAL PSYCHOLOGIST/MEMBER |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | CYNTHIA |
| Authorized Official - Middle Name: | A |
| Authorized Official - Last Name: | KEENAN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | PHD |
| Authorized Official - Phone: | 603-433-6777 |
| Mailing Address - Street 1: | 31 RAYNES AVE |
| Mailing Address - Street 2: | SUITE # 200 |
| Mailing Address - City: | PORTSMOUTH |
| Mailing Address - State: | NH |
| Mailing Address - Zip Code: | 03801-3756 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 603-433-6777 |
| Mailing Address - Fax: | 603-433-6778 |
| Practice Address - Street 1: | 31 RAYNES AVE |
| Practice Address - Street 2: | SUITE # 200 |
| Practice Address - City: | PORTSMOUTH |
| Practice Address - State: | NH |
| Practice Address - Zip Code: | 03801-3756 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 603-433-6777 |
| Practice Address - Fax: | 603-433-6778 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2008-09-04 |
| Last Update Date: | 2008-09-04 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| 103TB0200X, 103TA0700X, 103TC1900X, 103TC2200X, 103TF0000X, 103TF0200X, 103TM1800X, 103TP2701X, 101YA0400X, 103G00000X, 103T00000X, 103TA0400X, 103TC0700X | ||
| NH | 79885 | 103TS0200X |
| NH | 435 | 101YM0800X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical | Group - Multi-Specialty |
| No | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral | Group - Multi-Specialty |
| No | 103TA0700X | Behavioral Health & Social Service Providers | Psychologist | Adult Development & Aging | Group - Multi-Specialty |
| No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling | Group - Multi-Specialty |
| No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | Group - Multi-Specialty |
| No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family | Group - Multi-Specialty |
| No | 103TF0200X | Behavioral Health & Social Service Providers | Psychologist | Forensic | Group - Multi-Specialty |
| No | 103TM1800X | Behavioral Health & Social Service Providers | Psychologist | Intellectual & Developmental Disabilities | Group - Multi-Specialty |
| No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy | Group - Multi-Specialty |
| No | 103TS0200X | Behavioral Health & Social Service Providers | Psychologist | School | Group - Multi-Specialty |
| No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
| No | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | Group - Multi-Specialty | |
| No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
| No | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
