Provider Demographics
NPI:1457555781
Name:PORTSMOUTH PSYCHIATRIC ASSOCIATES
Entity Type:Organization
Organization Name:PORTSMOUTH PSYCHIATRIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCCUE
Authorized Official - Suffix:
Authorized Official - Credentials:ACSW
Authorized Official - Phone:603-431-3220
Mailing Address - Street 1:404 THE HL
Mailing Address - Street 2:PHOEBE HART HOUSE
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-3736
Mailing Address - Country:US
Mailing Address - Phone:603-431-3220
Mailing Address - Fax:
Practice Address - Street 1:404 THE HL
Practice Address - Street 2:PHOEBE HART HOUSE
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-3736
Practice Address - Country:US
Practice Address - Phone:603-431-3220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty