DR. MARK WAYNE GILBERTSON (NPI# 1326130907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326130907 |
| Entity Type | Individual |
| Full Name | DR. MARK WAYNE GILBERTSON |
| Credential | PH.D. |
| Practice Address |
718 Smyth Road Manchester NH 03104 |
| Mailing Address |
18 Winn Road Nashua NH 03062 |
| Practice Telephone | 6036244366 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
859 | NH | Behavioral Health & Social Service Providers |
| Street Address |
718 SMYTH ROAD |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255399838 | Manchester Vamc | Department of Veterans Affairs (VA) Pharmacy | 718 Smyth Road, Manchester, NH 03104-7004 | 2006-05-03 |
| 1558722421 | Shelby Evans | Licensed Practical Nurse | 718 Smyth Road, Manchester, NH 03104 | 2016-03-18 |
| 1699026179 | Jessica Amy Snyder | Nurse Practitioner | 718 Smyth Road, Manchester, MA 03104 | 2012-09-25 |
| 1275694523 | Beverly Anne Morshed | Speech-Language Pathologist | 718 Smyth Road, Manchester, NH 03104 | 2006-12-12 |
| 1376638148 | Thomas A. Bonito | Pharmacist | 718 Smyth Road, Va Medical Center, Manchester, NH 03104 | 2006-10-04 |
| 1750476131 | Linda Robeck Horton | Pharmacist | 718 Smyth Road, Manchester, NH 03104 | 2006-10-03 |
| 1891891065 | Linda Elizabeth Geraci | Internal Medicine | 718 Smyth Road, Manchester Va Medical Center, Manchester, NH 03104 | 2006-09-15 |
| 1336243468 | Kathleen K Jensen | Social Worker | 718 Smyth Road, Manchester, NH 03104 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245552066 | Frederick Neff | Psychologist | 15 Woodholm Rd, Manchester, MA 01944-1041 | 2010-02-21 |
| 1417281064 | Shannon Jackson | Psychologist | 150 North Main St, Echn Health Services, Manchester, CT 06040-4188 | 2009-09-30 |
| 1871730390 | Scott Jerauld Adams | Psychologist | 250 Commercial St Ste 3004, Manchester, NH 03101 | 2009-01-21 |
| 1003071275 | Wandembergh Mental Health Services, LLC | Psychologist | 206 Wells St, Manchester, CT 06040-6152 | 2008-07-27 |
| 1881851939 | David G. Kamen, Ph.d., P.C. | Psychologist | 23 W Webster St, Manchester, NH 03104-2913 | 2008-05-16 |
| 1093907917 | Steven Bonanno | Psychologist | 241 New State Rd Apt F, Manchester, CT 06042-7937 | 2007-08-14 |
| 1376753814 | Stephanie P. Morgan | Psychologist | 3 Ledgewood Cir, Manchester, MA 01944-1261 | 2007-05-23 |
| 1902952765 | Heidie Vazquez-garcia | Psychologist | 3855 Main St, Manchester, VT 05254 | 2007-01-26 |
| 1811082381 | Laurie C Geck | Psychologist | 1555 Elm Street, Manchester, NH 03101-1203 | 2006-10-03 |
| 1386740744 | Calvin R. Genzel | Psychologist | Pastoral Counseling Services, 2013 Elm Street, Manchester, NH 03104 | 2006-09-15 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
Please comment or provide details below to improve the information on DR. MARK WAYNE GILBERTSON.
| 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.