Individual provider Active NPI

Gabriela Toutin Dias, PSYD

  • Clinical Psychologist
  • Salem, NH
National Provider Identifier
1831712504
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10000769 Issued in MA
Practice address
167 S Broadway Ste 5
Salem, NH 03079-3379
Phone
(617) 209-9597
NPI assigned
May 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 10000769 MA Primary

Addresses

Primary practice location

167 S Broadway Ste 5
Salem, NH 03079-3379

Mailing address

167 S Broadway Ste 5
Salem, NH 03079-3379
Phone (617) 209-9597

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
I20250909003430 MA Practitioner - Clinical Psychologist 7719480516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Boston Ave
Suite 1925
Medford, MA 02155-4265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10000769MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adelis Health PLLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

200 Boston Ave
Ste 1925
Medford, MA 02155
Phone (617) 221-9742

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": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1831712504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 S BROADWAY STE 5",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793379",
            "telephone_number": "617-209-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 S BROADWAY STE 5",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793379",
            "telephone_number": "617-209-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUTIN DIAS",
        "first_name": "GABRIELA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10000769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.