Active NPI
Sonia Gyan, PH.D.
- Cognitive & Behavioral Psychologist
- Concord, MA
National Provider Identifier
1235522970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- Practice address
- 300 Baker Ave
Suite 300
Concord, MA 01742-2131 - Phone
- (978) 202-5636
- Fax
- (978) 267-6525
- NPI assigned
- Mar 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | Primary | ||
| Clinical Psychologist | 103TC0700X | 6998 | MA | |
| Health Psychologist | 103TH0004X |
Addresses
Primary practice location
300 Baker Ave
Suite 300
Concord, MA 01742-2131
Mailing address
300 Baker Ave
Suite 300
Concord, MA 01742-2131
Phone (978) 202-5636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 15, 2020 through Mar 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6998 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429833600000",
"number": "1235522970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 BAKER AVE",
"address_2": "SUITE 300",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422131",
"telephone_number": "978-202-5636",
"fax_number": "978-267-6525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BAKER AVE",
"address_2": "SUITE 300",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422131",
"telephone_number": "978-202-5636",
"fax_number": "978-267-6525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GYAN",
"first_name": "SONIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-05",
"last_updated": "2015-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "6998",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.