Healthcare Provider Details

I. General information

NPI: 1487359253
Provider Name (Legal Business Name): PERSON-CENTERED PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 04/03/2023
Certification Date: 04/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 UNION ST
MILFORD NH
03055-4875
US

IV. Provider business mailing address

192 WILSON RD
WILTON NH
03086-5414
US

V. Phone/Fax

Practice location:
  • Phone: 978-254-1913
  • Fax:
Mailing address:
  • Phone: 802-989-4546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL NATHAN BOGGS
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 978-254-1913