Amy J Goller, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Manchester, New Hampshire
1548048010- Practice location
- 2 Wall St, Manchester, NH 03101-1518
- Phone
- 603-668-4111
- Fax
- —
- Last updated
- December 10, 2025
Amy Jo Goller is a Nurse Practitioner, Psych/Mental Health based in Manchester, NH. Amy Jo Goller practices in Manchester, NH and has the professional credentials of PMHNP-BC. The NPI Number for Amy Jo Goller is 1548048010 and holds a License No. 09305223 (NH). The current practice location address for Amy Jo Goller is 2 Wall St, Manchester, NH 03101-1518 and can be reached out via phone at 603-668-4111.
Provider Profile Details
- NPI Number
- 1548048010
- Provider Name
- Amy Jo Goller
- Credential
- PMHNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2 Wall St, Manchester, NH 03101-1518
- Phone Number
- 603-668-4111
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Other Names
- Amy Jo Imbrigiotta, PMHNP-BC (Former Name)
- Provider Enumeration Date
- September 18, 2023
- Last Update Date
- December 10, 2025
- Certification Date
- December 10, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Wall St
Manchester, NH 03101-1518 - City
- Manchester
- State
- New Hampshire
- Zip
- 03101-1518
- Phone Number
- 603-668-4111
Provider Business Mailing Address Details
- Address
- 2 Wall St Ste 200
Manchester, NH 03101-1518 - City
- Manchester
- State
- NH
- Zip
- 03101-1518
- Phone Number
- 603-668-4111
License Information
- License Number (1)
- 09305223
- License State (1)
- NH
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
- License Number (2)
- APRN11027279
- License State (2)
- FL
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Amy J Goller, PMHNP-BC?
The NPI number of Amy J Goller, PMHNP-BC is 1548048010. It was assigned on September 18, 2023 and is currently active in the NPPES registry.
What is the specialty of Amy J Goller, PMHNP-BC?
Amy J Goller, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NH under license number 09305223.
Where does Amy J Goller, PMHNP-BC practice?
The practice location is 2 Wall St, Manchester, NH 03101-1518. The office can be reached at 603-668-4111 (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 1548048010 directly on the NPPES registry website.