Active NPIIndividual provider

Dr. Kassondra Bertulis, PSYD

Clinical Neuropsychologist in Manchester, New Hampshire

NPI Number1245075472
Practice location
718 Smyth RD, Manchester, NH 03104-7007
Fax
—
Last updated
June 28, 2024

Kassondra Bertulis is a Clinical Neuropsychologist based in Manchester, NH. Kassondra Bertulis practices in Manchester, NH and has the professional credentials of PSYD. The NPI Number for Kassondra Bertulis is 1245075472 and holds a License No. PSY.0006447 (CO). The current practice location address for Kassondra Bertulis is 718 Smyth RD, Manchester, NH 03104-7007 and can be reached out via phone at 860-378-5955.

Provider Profile Details

NPI Number
1245075472
Provider Name
Kassondra Bertulis
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
718 Smyth RD, Manchester, NH 03104-7007
Phone Number
860-378-5955
Primary Taxonomy
Clinical Neuropsychologist · 103G00000X
Sole Proprietor
No
Provider Enumeration Date
June 28, 2024
Last Update Date
June 28, 2024
Certification Date
June 28, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
718 Smyth RD
Manchester, NH 03104-7007
Zip
03104-7007
Phone Number
860-378-5955
Manchester, NH 03104Get directions →

Provider Business Mailing Address Details

Address
27 Water St Apt 306
Wakefield, MA 01880-3026
City
Wakefield
State
MA
Zip
01880-3026
Phone Number
860-378-5595

License Information

License Number
PSY.0006447
License State
CO
Taxonomy
Clinical Neuropsychologist · 103G00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kassondra Bertulis, PSYD?

The NPI number of Dr. Kassondra Bertulis, PSYD is 1245075472. It was assigned on June 28, 2024 and is currently active in the NPPES registry.

What is the specialty of Dr. Kassondra Bertulis, PSYD?

Dr. Kassondra Bertulis, PSYD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in CO under license number PSY.0006447.

Where does Dr. Kassondra Bertulis, PSYD practice?

The practice location is 718 Smyth RD, Manchester, NH 03104-7007. The office can be reached at 860-378-5955 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245075472 directly on the NPPES registry website.

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