Provider Demographics
NPI:1912050311
Name:PORTSMOUTH AND EXETER MENTAL HEALTH ASSOCIATES INC.
Entity type:Organization
Organization Name:PORTSMOUTH AND EXETER MENTAL HEALTH ASSOCIATES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-433-2656
Mailing Address - Street 1:500 MARKET ST UNIT 1G
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-3456
Mailing Address - Country:US
Mailing Address - Phone:603-433-2656
Mailing Address - Fax:603-433-2736
Practice Address - Street 1:500 MARKET ST UNIT 1G
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-3456
Practice Address - Country:US
Practice Address - Phone:603-433-2656
Practice Address - Fax:603-433-2736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH 302101YM0800X
NHNH 235101YM0800X
NHNH 1015103T00000X
NHNH 964103T00000X
NHNH 165104100000X
NHNH161104100000X
NHNH 1149104100000X
NHNH 50106H00000X
NHNH 98652084P0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty