Individual provider Active NPI

Lindsay Kurahara, PSYD

  • Clinical Psychologist
  • Dedham, MA
National Provider Identifier
1922770031
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11555 Issued in MA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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 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

IdentifierTypeStateIssuer
0000OtherN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
11555MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gennew Inc. Clinical CurrentSince Nov 9, 2021 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.

Verify at the official NPI Registry.