Active NPI
Lindsay Kurahara, PSYD
- Clinical Psychologist
- Dedham, MA
National Provider Identifier
1922770031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 11555
- Practice address
- 30 Eastbrook Rd Ste 101
Dedham, MA 02026-2083 - Phone
- (857) 293-5020
- Fax
- (857) 226-8772
- NPI assigned
- Sep 28, 2021
- Last updated
- Sep 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 11555 | MA | Primary |
Addresses
Primary practice location
30 Eastbrook Rd Ste 101
Dedham, MA 02026-2083
Mailing address
30 Eastbrook Rd Ste 101
Dedham, MA 02026-2083
Phone (857) 293-5020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000 | Other | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | admin@gennew.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11555 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gennew Inc. | Clinical | Current | Accepting new patients |
Locations
30 Eastbrook Rd
Ste 101
Dedham, MA 02026
Phone (857) 200-9813
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, 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": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1922770031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 EASTBROOK RD STE 101",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020262083",
"telephone_number": "857-293-5020",
"fax_number": "857-226-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 EASTBROOK RD STE 101",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020262083",
"telephone_number": "857-293-5020",
"fax_number": "857-226-8772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURAHARA",
"first_name": "LINDSAY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-28",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "11555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "0000",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "admin@gennew.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "30 Eastbrook Rd Ste 101",
"city": "Dedham",
"state": "MA",
"country_code": "US",
"postal_code": "020262083",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.