DR. EKATERINA TOLSTIKOVA (NPI# 1407133226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407133226 |
Entity Type | Individual |
Full Name | DR. EKATERINA TOLSTIKOVA |
Other Name | DR. KATERINA TOLSTIKOVA |
Credential | PHD |
Practice Address |
150 Myrtle Street Manchester NH 03104-6025 |
Mailing Address |
17 Olde Lantern Road Bedford NH 03110-4815 |
Practice Telephone | 6032130700 |
Practice Fax Number | 6033867007 |
Mailing Telephone | 6032130700 |
Mailing Fax Number | 6033867007 |
Enumeration Date | 2011-11-08 |
Last Update Date | 2019-02-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 1284 | NH | Behavioral Health & Social Service Providers |
N | 103T00000X | Psychologist | 1284 | NH | Behavioral Health & Social Service Providers |
Street Address |
150 MYRTLE STREET |
City | MANCHESTER |
State | NH |
Zip Code | 03104-6025 |
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 | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730162843 | William J. Jamieson | Clinical Neuropsychologist | 61 North St, Manchester, NH 03104-3029 | 2005-11-22 |
1326035734 | James Beauregard | Clinical Neuropsychologist | 138 Webster St, Manchester, NH 03104-2512 | 2005-09-30 |
1073745899 | Meagan Etchells Lentz | Clinical Neuropsychologist | 138 Webster St, Manchester, NH 03104-2512 | 2009-08-12 |
1184893299 | Susan E Mclaughlin-beltz | Clinical Neuropsychologist | 77 Pearl St, Manchester, NH 03101-1464 | 2008-02-22 |
1902893761 | Debbie J Javorsky | Clinical Neuropsychologist | 138 Webster St, Manchester, NH 03104-2512 | 2005-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831500511 | Matthew Holcomb | Clinical Neuropsychologist | 335 Bog Rd, Enfield, NH 03748-4103 | 2014-05-15 |
1568613073 | Peter Keith Isquith | Clinical Neuropsychologist | 367 Route 120 Unit B1, Hanover Road Professional Center, Lebanon, NH 03766 | 2008-10-02 |
1841244522 | William Thomas Mautz | Clinical Neuropsychologist | 20 Ladd St, 4th Floor, Portsmouth, NH 03801-4089 | 2006-05-19 |
1003816992 | Douglas F. Watt | Clinical Neuropsychologist | 24 Charlotte Ave, Nashua, NH 03064-1551 | 2005-07-21 |
1700881463 | John James Randolph | Clinical Neuropsychologist | 20 W Park St, Ste 215, Lebanon, NH 03766-1378 | 2005-06-17 |
1821611401 | Cierra Keith | Clinical Neuropsychologist | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-05-18 |
1467801811 | Jessica Y. Rhee | Clinical Neuropsychologist | 40 Buttrick Rd, Londonderry, NH 03053 | 2016-06-07 |
1699142794 | Catherine Lorraine Williams | Clinical Neuropsychologist | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2015-08-25 |
1164730420 | Susan R Mcgurk | Clinical Neuropsychologist | 105 Pleasant St, Dartmouth Psychiatric Research Center, Main Building, Concord, NH 03301-3852 | 2010-09-21 |
1104059237 | Orion Diagnostics Incorporated | Clinical Neuropsychologist | 138 Elm Street, Newport, NH 03773-0025 | 2009-08-24 |
Find all providers with the same taxonomy |
City | MANCHESTER |
Zip Code | 03104 |
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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.