Individual provider Active NPI

Ashita Shyam Gurnani, PHD

  • Clinical Neuropsychologist
  • Braintree, MA
National Provider Identifier
1831703107
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
11334 Issued in MA
Practice address
250 Pond St
Braintree, MA 02184-5351
Phone
(781) 348-2258
NPI assigned
Sep 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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 11334 MA
Clinical Neuropsychologist 103G00000X 11334 MA Primary

Addresses

Primary practice location

250 Pond St
Braintree, MA 02184-5351

Mailing address

533 Cambridge St Unit 105
Allston, MA 02134-2580
Phone (646) 541-9619

Other practice location 1

725 Albany St Ste 7B
Boston, MA 02118-3549
Phone (617) 638-8456

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201012002372 MA Practitioner - Clinical Psychologist 5597185652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifedimensions Neuropsychological Services IncGroup PAC ID 4587654637, 2 clinicians

Practice addresses (Care Compare)

250 Pond St
Braintree, MA 02184-5351
Phone (781) 348-2258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
11334MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifedimensions Neuropsychological Services, Inc Clinical Neuropsychologist CurrentSince Sep 9, 2020 Accepting new patients

Locations

250 Pond St
Braintree, MA 02184
Phone (781) 848-1300

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": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1831703107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 CAMBRIDGE ST UNIT 105",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021342580",
            "telephone_number": "646-541-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 POND ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845351",
            "telephone_number": "781-348-2258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Albany St Ste 7B",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021183549",
            "country_code": "US",
            "telephone_number": "617-638-8456",
            "fax_number": "617-638-8465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GURNANI",
        "first_name": "ASHITA",
        "middle_name": "SHYAM",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11334",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "11334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

Verify at the official NPI Registry.