Individual provider Active NPI

Miriam Gofseyeff, PH.D.

  • Psychologist
  • Concord, MA
National Provider Identifier
1326195868
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY1218 Issued in MA
Practice address
389 Lindsay Pond Rd
Concord, MA 01742-5217
Phone
(978) 369-7253
NPI assigned
Jan 5, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY1218 MA Primary
Clinical Psychologist 103TC0700X PSY1218 MA

Addresses

Primary practice location

389 Lindsay Pond Rd
Concord, MA 01742-5217

Mailing address

389 Lindsay Pond Rd
Concord, MA 01742-5217
Phone (978) 369-7253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 7, 2020 through Sep 7, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY1218MAMDPsychologist
1218MAMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1326195868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 LINDSAY POND RD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017425217",
            "telephone_number": "978-369-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 LINDSAY POND RD",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017425217",
            "telephone_number": "978-369-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFSEYEFF",
        "first_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "PSY1218",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "PSY1218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.