Individual provider Active NPI

Gouri Datta, MD

  • Psychiatry Physician
  • Burlington, MA
National Provider Identifier
1528054889
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
38554 Issued in MA
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

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3037754MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041018000367 MA Practitioner - NeuropsychiatryPractitioner - Psychiatry 5395704522 Reassigns benefits to 7 organizations
Practice locations: Haverhill, MA

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

OrganizationSpecialtyStatusNew patients
The Commonwealth of Massachusetts CurrentSince Oct 28, 2017 Accepting new patients
Washington Healthcare LLC CurrentSince Jun 15, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 1, 1978 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Oct 28, 2017 Accepting new patients
Lahey Clinic, Inc Internal Medicine Current Accepting new patients
Ibis Health Services- Massachusetts, LLC Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
Northeast Health Services, LLC CurrentSince Oct 15, 2021 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 1, 1978 Accepting new patients
Datta Consultants LLC CurrentSince Dec 28, 2023 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

  • Direct secure messaging: gdatta86636@direct.bilh.masshiway.net
  • FHIR API: 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.

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

Verify at the official NPI Registry.