Individual provider Active NPI

Linda S Gudas, PHD

  • Clinical Psychologist
  • Needham, MA
National Provider Identifier
1619028776
Registry record updated Jan 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5028 Issued in MA
Practice address
52 Pickering St
Needham, MA 02492-3159
Phone
(781) 444-5666
Fax
(781) 444-1567
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5028 MA Primary
Clinical Child & Adolescent Psychologist 103TC2200X 5028 MA

Addresses

Primary practice location

52 Pickering St
Needham, MA 02492-3159

Mailing address

52 Pickering St
Needham, MA 02492-3159
Phone (781) 444-5666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 14, 2025 through Mar 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5028MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Goodman Medical P.C. Past Accepting new patients

Organizations & group practices 1

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452902400000",
    "number": "1619028776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 PICKERING ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024923159",
            "telephone_number": "781-444-5666",
            "fax_number": "781-444-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 PICKERING ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024923159",
            "telephone_number": "781-444-5666",
            "fax_number": "781-444-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDAS",
        "first_name": "LINDA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "5028",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "5028",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.