Individual provider Active NPI

Omar Gamal Reid, PSY.D

  • School Psychologist
  • Boston, MA
National Provider Identifier
1922212810
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
895 Blue Hill Avenue
1960 Washington Street, Roxbury, Ma 02119
Boston, MA 02124
Phone
(617) 822-0829
Fax
(617) 825-7804
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1209 MA
Clinical Child & Adolescent Psychologist 103TC2200X 456 MA
School Psychologist 103TS0200X MA
School Psychologist 103TS0200X NY Primary

Addresses

Primary practice location

895 Blue Hill Avenue
1960 Washington Street, Roxbury, Ma 02119
Boston, MA 02124

Mailing address

PO Box 190781
Boston, MA 02119-0015
Phone (617) 230-6158

Other identifiers 8

IdentifierTypeStateIssuer
0027092100OtherMAAETNA
365360OtherMAMAGELLAN
000000023252OtherMABMC HEALTHNET
1028430OtherMANHP
009133OtherMAHARVARD PILGRIM PBH UBH
463577OtherMATUFTS HEALTH PLAN
LM0778OtherMABLUE CROSS & BLUE SHIELD
1891324OtherMAMBHP

Other names 1

  • Dr. Omar Gamal Reid Professional name

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
I20240109001742 MA Practitioner - Mental Health Counselor 8820141088 Practice locations: Boston, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1209MAMDMental Health Counselor
456MAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pyramid Current Accepting new patients
Pyramid Builders Associates, Inc CurrentSince Apr 12, 2009 Accepting new patients
Pyramid Builders Counseling Services, Inc Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1922212810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190781",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021190015",
            "telephone_number": "617-230-6158",
            "fax_number": "617-825-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 BLUE HILL AVENUE",
            "address_2": "1960 WASHINGTON STREET, ROXBURY, MA 02119",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02124",
            "telephone_number": "617-822-0829",
            "fax_number": "617-825-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "OMAR",
        "middle_name": "GAMAL",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1209",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "456",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0027092100",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "365360",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET",
            "identifier": "000000023252",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "1028430",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM PBH UBH",
            "identifier": "009133",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "463577",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "LM0778",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP",
            "identifier": "1891324",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OMAR",
            "last_name": "REID",
            "middle_name": "GAMAL",
            "prefix": "DR.",
            "credential": "PSY.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.