Krystal Marie Gottilla

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY10000684 Issued in MA

Practice address

7 Winn St
Woburn, MA 01801-2871

Phone

(339) 224-4933

NPI assigned

Sep 2, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Marigold Mental Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woburn, MA
  • NPI 1447108865
  NPD Authorized official
• Davinci Behavioral Health

  • Multi-Specialty Clinic/Center
  • Newton, MA
  • NPI 1205407525
  NPD (past)

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1225686348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WINN ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012871",
            "telephone_number": "339-224-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WINN ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012871",
            "telephone_number": "339-224-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTILLA",
        "first_name": "KRYSTAL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-02",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "PSY10000684",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "PSY10000684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Alicia Gomez, FNP-C
• Mercedes Gonzalez, PTA
• Kimberly Jean Goodridge, PNP
• Allyson Wendy Goose, MA, MAT
• Kelsey Gordon
• Christopher M Gould, PTA
• Brittany Gover
• Elena Joanne Govostes
• Graceful Home Care
• Donna J. Graham, PHD

• Psychologist in Woburn, MA
• Providers in Woburn, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.