LA MORA PSYCHOLOGICAL ASSOCIATES, P.A. (NPI# 1154452779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154452779 |
| Entity Type | Organization |
| Organization Name | LA MORA PSYCHOLOGICAL ASSOCIATES, P.A. |
| Practice Address |
82 Palomino Ln Suite 702 Bedford NH 03110-6448 |
| Mailing Address |
39 Simon St Unit 5 Nashua NH 03060-3046 |
| Practice Telephone | 6038898648 |
| Practice Fax Number | 6036683534 |
| Mailing Telephone | 6038898648 |
| Mailing Fax Number | 6038829666 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL PHILLIPS (PRESIDENT) |
| Authorized Official Telephone | 6038898648 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
280 | NH | Ambulatory Health Care Facilities |
| X | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
280 | NH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | CAQH PROVIDER ID | 11696373 | 01 |
| NH | PROVIDER # ANTHEM BCBS | 14YOO1294NH03 | 01 |
| NH | 30421136 | 05 |
| Street Address |
82 PALOMINO LN SUITE 702 |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841239993 | John P Lazott | Acupuncturist | 82 Palomino Ln, Bedford, NH 03110-6448 | 2006-06-05 |
| 1568713089 | Lisa Garcia | Dietitian, Registered | 82 Palomino Ln, Suite 703, Bedford, NH 03110-6448 | 2012-09-24 |
| 1568752913 | Jessica Irene Aleba | Dietitian, Registered | 82 Palomino Ln, Suite 703, Bedford, NH 03110-6448 | 2011-04-19 |
| 1316264476 | Aitc Physical Therapy, Pllc | Physical Therapist | 82 Palomino Ln, Suite 501, Bedford, NH 03110-6448 | 2010-04-29 |
| 1457589897 | Kerry Elizabeth Koroski | Dietitian, Registered | 82 Palomino Ln, Suite 501, Bedford, NH 03110-6448 | 2009-06-24 |
| 1003057464 | Dina Landis Solomon | Social Worker | 82 Palomino Ln, Suite 703, Bedford, NH 03110-6448 | 2009-03-16 |
| 1902046188 | Sarah Towse Brown | Dietitian, Registered | 82 Palomino Ln, Suite 501, Bedford, NH 03110-6448 | 2009-02-27 |
| 1548437312 | Nutrition In Motion | Dietitian, Registered | 82 Palomino Ln, Suite 501, Bedford, NH 03110-6448 | 2008-05-12 |
| 1700087509 | Evergreen Counseling Svs. | Counselor | 82 Palomino Ln, Suite 702, Bedford, NH 03110-6448 | 2007-05-30 |
| 1477685402 | Donna Guldenstern | Counselor | 82 Palomino Ln, . #702, Bedford, NH 03110-6448 | 2007-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| 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 |
|---|---|---|---|---|
| 1144757691 | Dawn Wyman Licsw Pllc | Clinic/Center | 3 Executive Park Dr Ste 212, Bedford, NH 03110-6975 | 2017-05-15 |
| 1376813147 | Hoosier Uplands Economic Development Corporation | Clinic/Center | 2125 16th St, Bedford, IN 47421-3003 | 2012-01-10 |
| 1609103456 | Shannon A. Johnson M.d., Pa | Clinic/Center | 3901 Airport Fwy, Suite 320, Bedford, TX 76021-6117 | 2009-11-14 |
| 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 |
| 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 |
| 1003423724 | Granite State Geriatrics Pllc | Clinic/Center | 635 Main St Ste 303, Laconia, NH 03246-3415 | 2020-09-27 |
| 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.