DR. KASSONDRA BERTULIS PSYD
NPI 1245075472
Clinical Neuropsychologist in Manchester, NH

Q: What is Kassondra Bertulis's NPI number?

The NPI number for Kassondra Bertulis is 1245075472. It was assigned to this individual provider in the NPPES registry on June 28, 2024.

Q: What is Kassondra Bertulis's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since June 28, 2024

718 SMYTH RD, MANCHESTER, NH 03104(860) 378-5955 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kassondra Bertulis Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KASSONDRA BERTULIS PSYD (NPI 1245075472) is an individual clinical neuropsychologist in Manchester, New Hampshire, licensed in Colorado (PSY.0006447) and active in the NPI registry since June 2024. She maintains a secondary practice location in Bedford.

NPPES Registry Identity

NPI1245075472

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. KASSONDRA BERTULISCredential: PSYD

Location Address718 SMYTH RDManchester, NH 03104-7007

Mailing Address27 Water St Apt 306Wakefield, MA 01880-3026 · (860) 378-5595

Phone(860) 378-5955

Sole ProprietorNo

Enumeration DateJune 28, 2024

NPPES CertifiedJune 28, 2024

✔ NPI 1245075472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CO · PSY.0006447

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

718 SMYTH RD, Manchester, NH 03104

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Secondary Practice Location 1

Location 1200 Springs RdBedford, MA 01730-1198 · Phone (781) 674-6885

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMORFIA P VALKANOS RPH

Pharmacist

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

MR. GIL THOMAS RUECK MSPT

Physical Therapist

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

DR. SUSAN JUDITH ZLOTNICK-HALE MD

Family Medicine

718 SMYTH RD, MANCHESTER VA MEDICAL CENTER - PRIMARY CARE
MANCHESTER, NH 03104

Hillsborough County (800) 892-8384

MR. STEVEN GERARD OTTARIANO RPH

Pharmacist

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

TRACY LYNN MEYER BSN, RN

Registered Nurse

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

DR. VICTOR GORDAN MD

Internal Medicine

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

KAREN J GUSTAFSON

Registered Nurse

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

MS. BARBARA ELLEN PINES-BROWN LICSW

Social Worker (Clinical)

718 SMYTH RD
MANCHESTER, NH 03104

Hillsborough County (603) 624-4366

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kassondra Bertulis's NPI number?

The NPI number for Kassondra Bertulis is 1245075472. It was assigned to this individual provider in the NPPES registry on June 28, 2024.

Where is Kassondra Bertulis located?

Kassondra Bertulis practices at 718 Smyth Rd, Manchester, NH 03104. The listed phone number is (860) 378-5955.

What is Kassondra Bertulis's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Kassondra Bertulis was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.