Active NPI
Omar Gamal Reid, PSY.D
- School Psychologist
- Boston, MA
National Provider Identifier
1922212810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0027092100 | Other | MA | AETNA |
| 365360 | Other | MA | MAGELLAN |
| 000000023252 | Other | MA | BMC HEALTHNET |
| 1028430 | Other | MA | NHP |
| 009133 | Other | MA | HARVARD PILGRIM PBH UBH |
| 463577 | Other | MA | TUFTS HEALTH PLAN |
| LM0778 | Other | MA | BLUE CROSS & BLUE SHIELD |
| 1891324 | Other | MA | MBHP |
Other names 1
- Dr. Omar Gamal Reid
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240109001742 | MA | Practitioner - Mental Health Counselor | 8820141088 | Practice locations: Boston, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1209 | MA | MD | Mental Health Counselor |
| 456 | MA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pyramid | Current | Accepting new patients | |
| Pyramid Builders Associates, Inc | Current | 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.
-
- Community/Behavioral Health Agency
- Boston, MA
- NPI 1164622551
-
- Community/Behavioral Health Agency
- Quincy, MA
- NPI 1235559964
-
- Case Management Agency
- Mattapan, MA
- NPI 1750723383
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.