Active NPI
Hanady Gouta
- Psychiatry Physician
- Norwich, CT
National Provider Identifier
1639482334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 52855
- Practice address
- 326 Washington St
Norwich, CT 06360-2740 - Phone
- (860) 823-6322
- NPI assigned
- Jul 22, 2010
- 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 | 243856 | MA | |
| Psychiatry Physician | 2084P0800X | 52855 | CT | Primary |
Addresses
Primary practice location
326 Washington St
Norwich, CT 06360-2740
Mailing address
736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-2102
Other practice location 1
326 Washington St
Norwich, CT 06360-2740
Phone (860) 823-6322
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243856 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522972800000",
"number": "1639482334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352907",
"telephone_number": "617-789-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 WASHINGTON ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602740",
"telephone_number": "860-823-6322"
}
],
"practiceLocations": [
{
"address_1": "326 Washington St",
"address_purpose": "LOCATION",
"city": "Norwich",
"state": "CT",
"postal_code": "063602740",
"country_code": "US",
"telephone_number": "860-823-6322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOUTA",
"first_name": "HANADY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-22",
"last_updated": "2018-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "243856",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "52855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.