Active NPI
Gustavo D Kinrys, M.D.
- Psychiatry Physician
- Cambridge, MA
National Provider Identifier
1023076676
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jun 19, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 210468
- Practice address
- 163 Gore St
East Cambridge Clinic
Cambridge, MA 02141-1131 - Phone
- (617) 665-3037
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 210468 | MA | Primary |
Addresses
Primary practice location
163 Gore St
East Cambridge Clinic
Cambridge, MA 02141-1131
Mailing address
174 Adams St
#7
Newton, MA 02458-1270
Phone (617) 665-3037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210468 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023076676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 ADAMS ST",
"address_2": "#7",
"city": "NEWTON",
"state": "MA",
"postal_code": "024581270",
"telephone_number": "617-665-3037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 GORE ST",
"address_2": "EAST CAMBRIDGE CLINIC",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021411131",
"telephone_number": "617-665-3037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINRYS",
"first_name": "GUSTAVO",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "210468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.