Healthcare Provider Details

I. General information

NPI: 1033451729
Provider Name (Legal Business Name): SARAH ELIZABETH ROCHA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH ELIZABETH STEIN

II. Dates (important events)

Enumeration Date: 03/21/2013
Last Update Date: 07/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 CYPRESS ST STE 8
MANCHESTER NH
03103-3600
US

IV. Provider business mailing address

101 SWEETBRIAR DR
CRANSTON RI
02920-3531
US

V. Phone/Fax

Practice location:
  • Phone: 603-668-4079
  • Fax:
Mailing address:
  • Phone: 603-289-1188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberLP03892
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number266553
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number19541
License Number StateNH
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number19541
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: