Healthcare Provider Details

I. General information

NPI: 1245140011
Provider Name (Legal Business Name): PAYNE PSYCHIATRIC SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 EXECUTIVE PARK DR STE 245
BEDFORD NH
03110-7064
US

IV. Provider business mailing address

3 EXECUTIVE PARK DR STE 245
BEDFORD NH
03110-7064
US

V. Phone/Fax

Practice location:
  • Phone: 603-316-2415
  • Fax: 603-859-8191
Mailing address:
  • Phone: 603-316-2415
  • Fax: 603-859-8191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW PAYNE
Title or Position: OWNER
Credential: APRN
Phone: 603-316-2415