Healthcare Provider Details

I. General information

NPI: 1861325896
Provider Name (Legal Business Name): NEW LEAF PSYCHIATRIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N COMMERCIAL ST STE 502
MANCHESTER NH
03101-1151
US

IV. Provider business mailing address

500 N COMMERCIAL ST STE 502
MANCHESTER NH
03101-1151
US

V. Phone/Fax

Practice location:
  • Phone: 603-793-3587
  • Fax:
Mailing address:
  • Phone: 603-793-3587
  • Fax:

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: CASEY DEYOUNG
Title or Position: OWNER
Credential: APRN
Phone: 603-793-3587