JACK L SLATOFF (NPI# 1992890313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992890313 |
| Entity Type | Individual |
| Full Name | JACK L SLATOFF |
| Credential | PH.D. |
| Practice Address |
29 Northwest Blvd Nashua NH 03063 |
| Practice Telephone | 6038819311 |
| Practice Fax Number | 6035957772 |
| Mailing Telephone | 6038819311 |
| Mailing Fax Number | 6035957772 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 64 | NH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30005789 | 05 |
| Street Address |
29 NORTHWEST BLVD |
| City | NASHUA |
| State | NH |
| Zip Code | 03063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952388944 | Susan Elizabeth Gust | Nurse Practitioner | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2005-12-29 |
| 1366053779 | Rachel Haigh-modlinsky | Physical Therapist | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2020-08-11 |
| 1679111728 | Hillary Raimondi | Physical Therapist | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2019-12-19 |
| 1770144917 | Tiffany A Gaudet | Nurse Practitioner | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2019-06-27 |
| 1619534245 | Arianne Koski-klein | Physical Therapist | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2019-05-20 |
| 1568938827 | Rachel L Herbert | Occupational Therapist | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2018-10-15 |
| 1043791833 | Vanessa C Ulrich | Social Worker | 29 Northwest Blvd, Nashua, NH 03063 | 2018-08-28 |
| 1306325568 | Sierra Renee Jewett | Nurse Practitioner | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2018-08-08 |
| 1295228401 | Kathryn Ann Winslow | Registered Nurse | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2018-06-12 |
| 1801312475 | Brian Joseph O'hearn Jr. | Nurse Practitioner | 29 Northwest Blvd, Nashua, NH 03063 | 2017-08-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770073298 | Eye Practice of Nashua Pllc | Optometrist | 451 Amherst St Ste 102, Nashua, NH 03063 | 2018-05-10 |
| 1801254552 | Lindsay Arel | Occupational Therapist | 547 Amherst St Ste 204, Nashua, NH 03063 | 2016-02-09 |
| 1447519103 | Dental Health Solutions of Nashua | Dentist | Zero Profile Circle, Nashua, NH 03063 | 2012-05-15 |
| 1801196332 | Greater Nashua Council On Alcoholism, Inc. | Counselor | 615 Amherst Street, Nashua, NH 03063 | 2010-11-01 |
| 1275846123 | Nancy M Chow | Pharmacist | 145 Amhurst St, Nashua, NH 03063 | 2010-07-21 |
| 1629258025 | Sara-britt Guinta | Physician Assistant | 565 Amherst St, Nashua, NH 03063 | 2007-11-14 |
| 1104954403 | Kelly A Fitzgibbons | Dentist | 2 Cellu Drive, Nashua, NH 03063 | 2007-03-01 |
| 1609922731 | Kara Myers | Occupational Therapist | 547 Amherst St., Suite 204, Nashua, NH 03063 | 2007-01-25 |
| 1720147176 | Todd Ratcliffe | Physical Therapist | 522 Amherst St Ste 22, Nashua, NH 03063 | 2006-12-08 |
| 1043385073 | Deepak V Shinde | Dentist | 2 Cellu Drive Suite #107, Allcare Dental, Nashua, NH 03063 | 2006-11-22 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093852816 | Elizabeth D Panagoulis | Psychologist | 30 Temple St., Suite # 105, Nashua, NH 03060 | 2007-01-31 |
| 1154497576 | William Berchman Flynn Jr. | Psychologist | 39 Simon St Ste 2a, Nashua, NH 03060-3046 | 2006-11-28 |
| 1568080125 | Amanda Mead | Psychologist | 1 Main St, Nashua, NH 03064-2716 | 2020-07-10 |
| 1487124053 | Cynthia H Hess | Psychologist | 1 Main Street, Nashua, NH 03064 | 2018-11-27 |
| 1083111330 | Jamie Fitzpatrick | Psychologist | 1 Main St, Nashua, NH 03064-2716 | 2018-04-11 |
| 1033666953 | Jessica Leonard | Psychologist | 1 Main St, Nashua, NH 03064-2716 | 2016-09-08 |
| 1740737964 | Thomas Hulslander | Psychologist | 440 Amherst St, Nashua, NH 03063-1225 | 2016-09-06 |
| 1114472214 | Carol Kilgour | Psychologist | 1 Main St, Nashua, NH 03064-2716 | 2016-08-18 |
| 1023400397 | Alla Palma | Psychologist | 1 Main St, Nashua, NH 03064-2716 | 2015-02-24 |
| 1386929248 | Rebecca T Plue | Psychologist | 1 Main St, Nashua, NH 03064-2716 | 2011-10-11 |
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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.