Active NPI
Gestalt Institute of New England Inc
- Psychologist
- Somerville, MA
National Provider Identifier
1023155306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- GESTALT INSTITUTE OF NEW ENGLAND INC
- Practice address
- 240 A Elm St.
Journey Women
Somerville, MA 02144 - Phone
- (617) 764-2009
- NPI assigned
- Jan 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lee Geltman, MA IN CLINICAL PSYCH
- Title
- President
- Phone
- (617) 764-2009
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
240 A Elm St.
Journey Women
Somerville, MA 02144
Mailing address
80 Winslow Avenue
Unit 2E
Somerville, MA 02144-2556
Phone (617) 764-2009
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GEW10063 | Other | MA | BLUE CROSS BLUE SHIELD |
| 717059 | Other | MA | TUFTS HEALTH PLAN MEDICAR |
National Provider Directory
National Provider DirectoryLocations
240 Elm St
#A
Somerville, MA 02144
Phone (617) 764-2009
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Somerville, MA
- NPI 1891849345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224806400000",
"number": "1023155306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 WINSLOW AVENUE",
"address_2": "UNIT 2E",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021442556",
"telephone_number": "617-764-2009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 A ELM ST.",
"address_2": "JOURNEY WOMEN",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "02144",
"telephone_number": "617-764-2009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GESTALT INSTITUTE OF NEW ENGLAND INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2008-10-24",
"status": "A",
"authorized_official_last_name": "GELTMAN",
"authorized_official_first_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-764-2009",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA IN CLINICAL PSYCH"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "GEW10063",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN MEDICAR",
"identifier": "717059",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.