Active NPI
Anne S. Gurian, MD
- Psychiatry Physician
- Somerville, MA
National Provider Identifier
1528154309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 71873
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3072347 | Medicaid | MA |
Other names 1
- Anne Gurian Dangerfield
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.