Healthcare Provider Details

I. General information

NPI: 1831987031
Provider Name (Legal Business Name): NEW ENGLAND PSYCHOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 S RIVER RD
BEDFORD NH
03110-6774
US

IV. Provider business mailing address

85 S RIVER RD
BEDFORD NH
03110-6774
US

V. Phone/Fax

Practice location:
  • Phone: 781-315-6262
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: TSVETINA KAMENOVA
Title or Position: OWNER
Credential: PH.D., LCMHC
Phone: 781-315-6262