Individual provider Active NPI

Katie Gorman

  • Developmental Therapist
  • Danvers, MA
National Provider Identifier
1093267536
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
6 Southside Rd
Danvers, MA 01923-1409
Phone
(978) 762-8352
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Primary

Addresses

Primary practice location

6 Southside Rd
Danvers, MA 01923-1409

Mailing address

6 Southside Rd
Danvers, MA 01923-1409
Phone (978) 762-8352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117003370 MA Practitioner - Mental Health Counselor 7618329434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocates, Inc.Group PAC ID 9830404045, 111 clinicians

Practice addresses (Care Compare)

354 Waverley St
FL 2
Framingham, MA 01702-7079
Phone (508) 661-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Advocates, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

354 Waverley St
Fl 2
Framingham, MA 01702
Phone (440) 223-3654

1094 Worcester Rd
Framingham, MA 01702
Phone (508) 665-4344

1881 Worcester Rd
Framingham, MA 01701

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1093267536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SOUTHSIDE RD",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231409",
            "telephone_number": "978-762-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SOUTHSIDE RD",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231409",
            "telephone_number": "978-762-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.