OrganizationActive
Licensed Support Corp
NPI 1336839711 · Community/Behavioral Health Agency · Manchester, NH
Licensed Support Corp is a Community/Behavioral Health Agency organization in Manchester, NH (NPI 1336839711).
Provider details
- NPI number
- 1336839711
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Yocheved Wasserman, President(845) 596-2271
Specialties & taxonomies
Agencies
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
283 Scenic Drive
Manchester, NH 03103
Phone: (845) 596-2271
Street-level locationGet directions
Mailing address
283 Scenic Drive
Manchester, NH 03103
Registry dates
- Enumerated
- 2023-05-10
- Last updated
- 2023-05-10
- Certified
- 2023-04-27
Frequently asked questions
- What is Licensed Support Corp's NPI number?
- Licensed Support Corp's National Provider Identifier (NPI) is 1336839711, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Licensed Support Corp?
- Licensed Support Corp is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Licensed Support Corp located?
- Licensed Support Corp's practice location on file with NPPES is 283 Scenic Drive, Manchester, NH 03103.
- What is Licensed Support Corp's phone number?
- The practice phone number listed in the NPPES registry for Licensed Support Corp is (845) 596-2271.
- Who is the authorized official for Licensed Support Corp?
- The authorized official listed on Licensed Support Corp's NPPES record is Yocheved Wasserman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Licensed Support Corp's NPI active?
- Yes — Licensed Support Corp's NPI (1336839711) is active in the NPPES registry as of the last update on 2023-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.