Healthcare Provider Details

I. General information

NPI: 1780508341
Provider Name (Legal Business Name): KIRK PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 STILES RD STE 217
SALEM NH
03079-2854
US

IV. Provider business mailing address

23 STILES RD STE 217
SALEM NH
03079-2854
US

V. Phone/Fax

Practice location:
  • Phone: 978-825-7007
  • Fax:
Mailing address:
  • Phone: 978-825-7007
  • 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: JESSICA KIRK
Title or Position: OWNER
Credential: DNP, PMHNP
Phone: 978-825-7007