GRANITE STATE GERIATRICS PLLC (NPI# 1003423724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003423724 |
| Entity Type | Organization |
| Organization Name | GRANITE STATE GERIATRICS PLLC |
| Practice Address |
635 Main St Ste 303 Laconia NH 03246-3415 |
| Mailing Address |
32 Harvest Run Gilford NH 03249-6567 |
| Practice Telephone | 6034090735 |
| Practice Fax Number | 8779190640 |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2020-09-27 |
| Authorized Official Name | DR. RAYMOND EDWIN SUAREZ (MEMBER) |
| Authorized Official Telephone | 6034090735 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
635 MAIN ST STE 303 |
| City | LACONIA |
| State | NH |
| Zip Code | 03246-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255538245 | Raymond Edwin Suarez | Psychiatry & Neurology | 635 Main St Ste 303, Laconia, NH 03246-3415 | 2007-07-02 |
| 1447405733 | Sara Jeanne Dupont | Counselor | 635 Main St Ste 303, Laconia, NH 03246-3415 | 2008-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417495391 | Leslie A Gray | Counselor | 85 Fenton Ave, Laconia, NH 03246 | 2017-02-10 |
| 1649726399 | Purvi Patel | Pharmacist | 1381 Lakeshore Rd, Gilford, NH 03246 | 2016-08-31 |
| 1619246683 | Krista Martin | Occupational Therapist | 30 County Drive, Belknap County Nursing Home, Laconia, NH 03246 | 2011-12-21 |
| 1073891057 | Amjad Farah | Internal Medicine | 85 Spring St Ste 2a1, Laconia, NH 03246 | 2011-07-25 |
| 1386935641 | Jacqueline Leigh Berg | Marriage & Family Therapist | 585 Union Ave, #7a, Laconia, NH 03246 | 2011-04-21 |
| 1689903007 | Berwick Family Health Center LLC | Family Medicine | 36 Endicott, Laconia, NH 03246 | 2009-12-14 |
| 1083856850 | Maryclaire Paicopolis Md PC | Internal Medicine | 451 Belknap Mountain Rd, Gilford, NH 03246 | 2009-03-25 |
| 1013156157 | Rodney Ed Baker | Counselor | 771 N Main Street, Laconia, NH 03246 | 2009-02-12 |
| 1902062979 | Edith J Gault | Social Worker | 67 Communications Way, Laconia, NH 03246 | 2008-07-30 |
| 1003029091 | Susan Eve Kelly | Occupational Therapist | 79 Blueberry La, Laconia, NH 03246 | 2007-05-07 |
| Find all providers in zip 03246 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245613 | Gray Matters Counseling and Wellness, LLC | Clinic/Center | 501 Union Ave, Laconia, NH 03246-2867 | 2018-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508401415 | Deborah C. Cheshire, Psy.d, Pllc | Clinic/Center | 372 West St Ste 200, Keene, NH 03431-2412 | 2019-11-14 |
| 1427693563 | Cascades of Nh, LLC | Clinic/Center | 9 East Pearl Street, Nashua, NH 03060 | 2019-11-13 |
| 1962055780 | Robert Kaladish Md Pllc | Clinic/Center | 109 Ponemah Rd Ste 2, Amherst, NH 03031-2834 | 2019-07-21 |
| 1912466335 | Be. Counseling, LLC | Clinic/Center | 251 Central Ave Ste 3, Dover, NH 03820-4188 | 2019-03-15 |
| 1902381114 | Mary Boucher Licsw | Clinic/Center | 6 Old Rochester Rd Ste 102c, Dover, NH 03820-2028 | 2018-10-03 |
| 1215444161 | C. Patricia Hanley, Ph.d Pllc | Clinic/Center | 13 Jenkins Ct Ste 230, Durham, NH 03824-2324 | 2018-01-01 |
| 1811412133 | New England Counseling Services LLC | Clinic/Center | 1750 Elm St Ste 103, Manchester, NH 03104-2919 | 2017-08-08 |
| 1144757691 | Dawn Wyman Licsw Pllc | Clinic/Center | 3 Executive Park Dr Ste 212, Bedford, NH 03110-6975 | 2017-05-15 |
| 1538394747 | Amherst Psychological Services, Pllc | Clinic/Center | 27 Route 101a Unit 3, Amherst, NH 03031-2739 | 2009-05-18 |
| 1427659986 | Balance Mental Health, P.l.l.c. | Clinic/Center | 3 Pleasant St Ste 5-6, Concord, NH 03301-4003 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.