Active NPI
Frederick L Gates, PHD
- Psychologist
- Brighton, MA
National Provider Identifier
1528166188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3106
- Practice address
- 280 Washington St
Suite 305
Brighton, MA 02135-3511 - Phone
- (617) 787-4662
- Fax
- (617) 787-4662
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3106 | MA | Primary |
Addresses
Primary practice location
280 Washington St
Suite 305
Brighton, MA 02135-3511
Mailing address
30 Daniels St
Arlington, MA 02476-5960
Phone (781) 820-7597
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700176 | Other | MA | TUFTS (INDIVIDUAL) |
| 602105 | Other | MA | TUFTS (GROUP#) |
| 004717 | Other | MA | PACIFICARE |
| 27870 | Other | MA | HMO MAGELAN INDIVIDUAL # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3106 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1528166188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 DANIELS ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024765960",
"telephone_number": "781-820-7597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 WASHINGTON ST",
"address_2": "SUITE 305",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353511",
"telephone_number": "617-787-4662",
"fax_number": "617-787-4662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "FREDERICK",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "3106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS (INDIVIDUAL)",
"identifier": "700176",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS (GROUP#)",
"identifier": "602105",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "004717",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO MAGELAN INDIVIDUAL #",
"identifier": "27870",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.