Thomas Gordon Gutheil, MD

Primary specialty

Forensic Psychiatry PhysicianTaxonomy code 2084F0202X

License

31729 Issued in MA

Practice address

180 Morton St
Jamaica Plain, MA 02130-3735

Phone

(617) 626-9659

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 21, 2016 through Jul 21, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649320177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WELLMAN ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462831",
            "telephone_number": "617-734-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MORTON ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303735",
            "telephone_number": "617-626-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHEIL",
        "first_name": "THOMAS",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "MA",
            "license": "31729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Edward Gunnoud III
• Olivia Shaogiang Guo, DDS
• Rahul Gupta, M.D.
• Arielle Gur, CF-SLP
• Lisa Gurland, PSYD
• Catalina Gutierrez-Perez
• Sally Guy, APRN, BC
• Tracy Guzman Morales, LICSW
• Betsy I Guzman, LCSW
• Elsa Guzman, D.M.D.

• Forensic Psychiatry Physician in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Forensic Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.