Active NPI
Gouri Datta, MD
- Psychiatry Physician
- Burlington, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 38554
- Practice address
- 41 Mall Rd
Burlington, MA 01805-0001 - Phone
- (617) 548-0184
- Fax
- (781) 744-5235
- NPI assigned
- Sep 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 38554 | MA | |
| Psychiatry Physician | 2084P0800X | 38554 | MA | Primary |
Addresses
Primary practice location
41 Mall Rd
Burlington, MA 01805-0001
Mailing address
41 Mall Rd
Lahey Clinic, Inc.
Burlington, MA 01805-0001
Phone (617) 548-0184
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3037754 | Medicaid | MA |
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neuropsychiatry
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
132 Rosalie Rd
Newton Center, MA 02459-3153
Phone (617) 721-8019
5264 Washington St
West Roxbury, MA 02132-6320
Phone (617) 475-2400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Commonwealth of Massachusetts | Current | Accepting new patients | |
| Washington Healthcare LLC | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| The Commonwealth of Massachusetts | Current | Accepting new patients | |
| Lahey Clinic, Inc | Internal Medicine | Current | Accepting new patients |
| Ibis Health Services- Massachusetts, LLC | Internal Medicine | Current | Accepting new patients |
| Northeast Health Services, LLC | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Datta Consultants LLC | Current | Accepting new patients | |
| Steward Medical Group, Inc. | Past | Accepting new patients | |
| Valley Regional Medical Services | Past | Accepting new patients |
Locations
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
215 Ayer Rd
Unit 797
Harvard, MA 01451
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
70 East St
Methuen, MA 01844
Phone (978) 682-1906
9 Branch St
Methuen, MA 01844
Phone (978) 327-5410
511 W Grove St
Ste 104
Middleboro, MA 02346
Phone (508) 923-1913
246 Walnut St
Ste 104
Newtonville, MA 02460
Phone 6172443322104
150 York St
Stoughton, MA 02072
Phone (781) 297-1101
30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400
365 East St
Tewksbury, MA 01876
Phone (617) 536-2186
5260 Washington St
Ste 11
West Roxbury, MA 02132
Phone (617) 475-2400
Interoperability endpoints
- gdatta86636@direct.bilh.masshiway.net
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 11
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.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Newton Center, MA
- NPI 1316675275
-
- Internal Medicine Physician
- Harvard, MA
- NPI 1790273563
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Taunton, MA
- NPI 1225067481
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Long Term Care Hospital
- Tewksbury, MA
- NPI 1871680496
-
- Psychiatry Physician
- West Roxbury, MA
- NPI 1275241341
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1427111574
-
- Specialist
- Brighton, MA
- NPI 1265745301
-
- Specialist
- Methuen, MA
- NPI 1780675538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1528054889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MALL RD",
"address_2": "LAHEY CLINIC, INC.",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "617-548-0184",
"fax_number": "781-744-5235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 MALL RD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "617-548-0184",
"fax_number": "781-744-5235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DATTA",
"first_name": "GOURI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-22",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "38554",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "38554",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3037754",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.