DR. P. MARK WATTS (NPI# 1407959596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407959596 |
| Entity Type | Individual |
| Full Name | DR. P. MARK WATTS |
| Credential | DMIN |
| Practice Address |
2013 Elm St Manning House Manchester NH 03104-2528 |
| Practice Telephone | 6036272702 |
| Practice Fax Number | 6036273643 |
| Mailing Telephone | 6036272702 |
| Mailing Fax Number | 6036273643 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
35 | NH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 80004568 | 05 |
| Street Address |
2013 ELM ST MANNING HOUSE |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851350268 | Carol Knieriem | Social Worker | 2013 Elm St, Pastoral Counseling Services, Manchester, NH 03104-2528 | 2006-03-23 |
| 1508405515 | Kenneth Robertson | Counselor | 2013 Elm St, Manchester, NH 03104-2528 | 2019-12-23 |
| 1780163493 | Sujeong Shin | Social Worker | 2013 Elm St, Manchester, NH 03104-2528 | 2018-08-13 |
| 1235618703 | Melissa Marie Grudinski | Counselor | 2013 Elm St, Manchester, NH 03104-2528 | 2018-08-07 |
| 1225221120 | Lisa E Gold | Counselor | 2013 Elm St, Manchester, NH 03104-2528 | 2007-08-23 |
| 1811029978 | Dianne Terese Philion | Social Worker | 2013 Elm St, Manning House, Manchester, NH 03104-2528 | 2007-03-12 |
| 1760524193 | Mary J Yost | Counselor | 2013 Elm St, Manchester, NH 03104-2528 | 2007-02-13 |
| 1851469068 | David B. Reynolds | Counselor | 2013 Elm St, Manning House, Manchester, NH 03104-2528 | 2006-12-04 |
| 1205904703 | Stephanie Kate Williston | Psychologist | 2013 Elm St, Pastoral Counseling Services, Manchester, NH 03104-2528 | 2006-12-01 |
| 1477636546 | Emily Bernice Geoghegan | Psychologist | 2013 Elm St, Manchester, NH 03104-2528 | 2006-10-23 |
| Find all providers in the same location | ||||
| 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 | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467907378 | Michele Stanford | Counselor | 176 Gilbert Rd, Manchester, GA 31816-7021 | 2016-08-20 |
| 1366500951 | Bayard Preston Herndon | Counselor | 2013 Elm Street, Manchester, NH 03104 | 2006-12-05 |
| 1538377189 | Marcia B Klepper-smith | Counselor | 71 Haynes St, Manchester, CT 06040-4131 | 2007-05-18 |
| 1851469068 | David B. Reynolds | Counselor | 2013 Elm St, Manning House, Manchester, NH 03104-2528 | 2006-12-04 |
| 1285701508 | Edward Mahoney | Counselor | 2 Wall St, Suite 300, Manchester, NH 03101-1518 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952930414 | Victory Care Associates LLC | Counselor | 24 Opera House Sq Ste 210, Claremont, NH 03743-5408 | 2020-04-06 |
| 1972007037 | Amy L Alletzhauser | Counselor | 15 Ermer Rd Unit 215, Salem, NH 03079-1273 | 2018-03-22 |
| 1033313010 | Gary Edward Wehrwein | Counselor | 19 Federal Street, Keene, NH 03431 | 2007-06-13 |
| 1053521229 | Kaye Gravelie Bowles | Counselor | 50 Langs Ln, Newmarket, NH 03857-2123 | 2007-05-23 |
| 1902920085 | Timothy Joal Wildman | Counselor | 54 Auburn St, Concord, NH 03301-3048 | 2007-03-16 |
| 1124155940 | Emmaus Institute Counseling Services | Counselor | 154 Broad St Ste 1538, Nashua, NH 03063-3205 | 2007-02-28 |
| 1548313026 | David Lee Brower | Counselor | 17 Old Nashua Rd, Suite 4, Amherst, NH 03031-2844 | 2007-01-19 |
| 1063573335 | Stephen M. Price | Counselor | 117 Washington St, Keene, NH 03431-3103 | 2006-12-12 |
| 1144311655 | Richard Thompson Stuart | Counselor | 968 N Main St, Laconia, NH 03246-2628 | 2006-09-28 |
| 1578667168 | John J Odonnell | Counselor | 89 Rte 101a, #10, Amherst, NH 03031 | 2006-09-12 |
| 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.