1477801009 NPI number — MR. THOMAS JOHN DINSMORE M.A., LCMHC

Table of content: CHRYSTAL CEFARATTI IDMT (NPI 1871727487)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477801009 NPI number — MR. THOMAS JOHN DINSMORE M.A., LCMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DINSMORE
Provider First Name:
THOMAS
Provider Middle Name:
JOHN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.A., LCMHC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477801009
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
184 MAMMOTH RD UNIT 4
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LONDONDERRY
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03053-3254
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-553-2353
Provider Business Mailing Address Fax Number:
603-818-8518

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4 BIRCH ST STE 5
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DERRY
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03038-2136
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-553-2353
Provider Business Practice Location Address Fax Number:
603-552-3129
Provider Enumeration Date:
08/29/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  1076 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com