Individual provider Active NPI

Anne S. Gurian, MD

  • Psychiatry Physician
  • Somerville, MA
National Provider Identifier
1528154309
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
71873 Issued in MA
Practice address
175 Elm St
C2
Somerville, MA 02144-3150
Phone
(617) 864-3667
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 71873 MA Primary
Child & Adolescent Psychiatry Physician 2084P0804X 71873 MA

Addresses

Primary practice location

175 Elm St
C2
Somerville, MA 02144-3150

Mailing address

5 Johnson Avenue
Medford, MA 02155
Phone (617) 864-3667

Other identifiers 1

IdentifierTypeStateIssuer
3072347MedicaidMA

Other names 1

  • Anne Gurian Dangerfield Other name

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
I20130701000800 MA Practitioner - Psychiatry 6709026461 Practice locations: Somerville, MA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Pennsylvania, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

61 Roseland St
Suite 1
Somerville, MA 02143-3524
Phone (617) 354-1353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1528154309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 JOHNSON AVENUE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "02155",
            "telephone_number": "617-864-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ELM ST",
            "address_2": "C2",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021443150",
            "telephone_number": "617-864-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURIAN",
        "first_name": "ANNE",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "71873",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "71873",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072347",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "DANGERFIELD",
            "middle_name": "GURIAN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Somerville, MA

Sources for this page

Verify at the official NPI Registry.