Individual provider Active NPI

Gwyne White

  • Psychologist
  • Beverly, MA
National Provider Identifier
1861088312
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
11323 Issued in MA
Practice address
100 Cummings Ctr Ste 207L
Beverly, MA 01915-6104
Phone
(617) 209-9232
NPI assigned
Dec 18, 2020
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 11323 MA Primary

Addresses

Primary practice location

100 Cummings Ctr Ste 207L
Beverly, MA 01915-6104

Mailing address

61 Thurston Rd
Newton, MA 02464-1242
Phone (617) 433-7020

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.nschildneuropsych.com

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
I20230515001222 MA Practitioner - Clinical Psychologist 2365808508

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11323MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boodah, Inc Psychologist CurrentSince May 1, 2023 Accepting new patients
Atlantic Assessment PLLC Current Accepting new patients
Next Step Counseling and Neuropsychology LLC CurrentSince May 11, 2025 Accepting new patients

Locations

100 Cummings Ctr
Ste 312J
Beverly, MA 01915
Phone (617) 433-7020

161 Summer St
Ste 5
Kingston, MA 02364
Phone (781) 516-7817

50 Main St
Ste 201
North Reading, MA 01864
Phone (781) 287-8676

32 Court St
Ste 7
Plymouth, MA 02360
Phone (774) 426-7707

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1861088312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 THURSTON RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641242",
            "telephone_number": "617-433-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 207L",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156104",
            "telephone_number": "617-209-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "GWYNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "11323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.nschildneuropsych.com",
            "affiliation": "N",
            "address_1": "100 Cummings Ctr Ste 207L",
            "city": "Beverly",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019156104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.