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MOUNT PROSPECT ACADEMY, INC.
NPI 1720281264
Residential Treatment Facility, Emotionally Disturbed Children in Plymouth, NH

Active since June 11, 2007
350 MAIN ST, PLYMOUTH, NH 03264(603) 536-1102(603) 536-3074 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 20, 2021, Jul 25, 2019 (2 updates tracked since 2019).

About Mount Prospect Academy, Inc. NPPES

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

MOUNT PROSPECT ACADEMY, INC. (NPI 1720281264) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Plymouth, New Hampshire and active in the NPI registry since June 2007. The organization lists Jay T Wolter, President, as its authorized official.

NPPES Registry Identity

NPI1720281264
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameMOUNT PROSPECT ACADEMY, INC.
Location Address350 MAIN STPlymouth, NH 03264-4518
Mailing AddressPo Box 325Orford, NH 03777-0325 · (603) 353-9102 · Fax (603) 353-9412
Phone(603) 536-1102
Fax(603) 536-3074
Organization SubpartNo
Authorized OfficialJay T WolterPresident · (603) 353-9102
Enumeration DateJune 11, 2007
Last NPPES UpdateAugust 20, 20212 updates tracked since enumeration
NPPES CertifiedAugust 20, 2021
✔ NPI 1720281264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
350 MAIN ST, Plymouth, NH 03264
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Other Identifiers 2

Medicaid30832240NH
Medicaid30854897NH

Other Providers at the Same Location NPPES

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

HILEL GUBENKO LCMHC
Counselor (Mental Health)
350 MAIN ST
PLYMOUTH, NH 03264
Grafton County (603) 726-1106

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 Mount Prospect Academy, Inc.'s NPI number?

The NPI number for Mount Prospect Academy, Inc. is 1720281264. It was assigned to this organization in the NPPES registry on June 11, 2007.

Where is Mount Prospect Academy, Inc. located?

Mount Prospect Academy, Inc. is located at 350 Main St, Plymouth, NH 03264. The listed phone number is (603) 536-1102.

What is Mount Prospect Academy, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Mount Prospect Academy, Inc. was last updated on August 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.