OrganizationActive
Dartmouth Medical School
NPI 1669737805 · Geriatric Psychiatry Physician · Hanover, NH
Provider details
- NPI number
- 1669737805
- Entity type
- Organization
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wiley Souba, Dean(603) 650-1200
- License
- 4476 (NH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
33 Rip Rd
Hanover, NH 03755-1616
Phone: (603) 643-2903
Street-level locationGet directions
Mailing address
33 Rip Rd
Hanover, NH 03755-1616
Registry dates
- Enumerated
- 2012-07-12
- Last updated
- 2012-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.