Healthcare Provider Details

I. General information

NPI: 1669308912
Provider Name (Legal Business Name): YORK PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 SPLITROCK RD
GRANTHAM NH
03753-3250
US

IV. Provider business mailing address

221 MAIN ST # 4313
NASHUA NH
03060-2913
US

V. Phone/Fax

Practice location:
  • Phone: 802-252-3005
  • Fax:
Mailing address:
  • Phone: 802-252-3005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LISA C JENKINS
Title or Position: PMHNP-BC
Credential: APRN
Phone: 603-276-0802