Healthcare Provider Details

I. General information

NPI: 1619884855
Provider Name (Legal Business Name): GRANITE INTEGRATIVE PSYCHIATRY,PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 CANAL ST
FRANKLIN NH
03235-1600
US

IV. Provider business mailing address

221 MAIN ST # 4232
NASHUA NH
03060-2913
US

V. Phone/Fax

Practice location:
  • Phone: 603-998-4505
  • Fax:
Mailing address:
  • Phone: 603-998-4505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: NATALIE LORRAINE NEWCOMB
Title or Position: APRN
Credential: MSN
Phone: 603-998-4505