GESTALT INSTITUTE OF NEW ENGLAND INC (NPI# 1023155306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023155306 |
| Entity Type | Organization |
| Organization Name | GESTALT INSTITUTE OF NEW ENGLAND INC |
| Practice Address |
240 A Elm St. Journey Women Somerville MA 02144 |
| Mailing Address |
80 Winslow Avenue Unit 2e Somerville MA 02144-2556 |
| Practice Telephone | 6177642009 |
| Mailing Telephone | 6177642009 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-10-24 |
| Authorized Official Name | MR. LEE GELTMAN (PRESIDENT) |
| Authorized Official Telephone | 6177642009 |
| Authorized Official Credential | MA IN CLINICAL P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS HEALTH PLAN MEDICAR | 717059 | 01 |
| MA | BLUE CROSS BLUE SHIELD | GEW10063 | 01 |
| Street Address |
240 A ELM ST. JOURNEY WOMEN |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891849345 | Lee Geltman | Psychologist | 240 A Elm St., Journey Women, Somerville, MA 02144 | 2007-01-22 |
| 1396873113 | Susan Jeannne Teta | Social Worker | 240 A Elm St., Somerville, MA 02144 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386106953 | Star Markets Company Inc | Durable Medical Equipment & Medical Supplies | 90 Causeway St, Boston, MA 02144 | 2019-04-03 |
| 1841769460 | Jeffrey Shwom | Technician/Technologist | 40 Holland Street, 1st Floor, Somerville, MA 02144 | 2018-11-14 |
| 1689106700 | Michelle Dyrholm | Anesthesiology | Massachusetts General Hospital, Dept of Anesthesia, 55 Fruit Street, Gray-bigelow 444, Boston, MA 02144 | 2017-03-29 |
| 1275089575 | Nancy Landry Pllc | Family Medicine | Somerville Family Practice, 1020 Broadway, Somerville, MA 02144 | 2016-08-28 |
| 1982019451 | Wilson Garcia Acosta | Specialist | 278 Powderhouse, Somerville, MA 02144 | 2014-06-24 |
| 1376954289 | Jonathan Farr | Counselor | 1236 Broadway Ste 12, Somerville, MA 02144 | 2014-05-13 |
| 1356751945 | Christina Sakelarakis | Psychologist | 73 Fairfax St, Somerville, MA 02144 | 2014-05-05 |
| 1578905816 | Nicolle Woods | Behavioral Analyst | 58 Day St #441938, Somerville, MA 02144 | 2013-07-29 |
| 1306130018 | Emily Elizabeth Wheeler | Psychologist | 259 Elm St Ste 201, Somerville, MA 02144 | 2011-05-31 |
| 1932363355 | Hang Le Ngo | Psychologist | 53 Chester Street, Somerville, MA 02144 | 2008-07-15 |
| Find all providers in zip 02144 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710453162 | Saba Khan | Psychologist | 134 W End Ave Fl 1, Somerville, NJ 08876-1816 | 2018-10-23 |
| 1497131973 | Jaclin Gerstel-friedman | Psychologist | 32 Warren Ave Apt 2, Somerville, MA 02143-3044 | 2015-08-06 |
| 1205124948 | Selda Celen-demirtas | Psychologist | 61 Roseland St Ste 2, Somerville, MA 02143-3536 | 2011-07-15 |
| 1306130018 | Emily Elizabeth Wheeler | Psychologist | 259 Elm St Ste 201, Somerville, MA 02144 | 2011-05-31 |
| 1487986485 | Marc David Geller | Psychologist | 337 East Main Street, Somerville, NJ 08876-3109 | 2010-02-02 |
| 1487844569 | Susan Hale Zeichner | Psychologist | 68 Josephine Ave, Somerville, MA 02144-2207 | 2007-07-26 |
| 1275754863 | Diya Kallivayalil | Psychologist | Victims of Violence Program, 26 Central Street, Somerville, MA 02143 | 2007-05-01 |
| 1295875011 | Katherine Tracy Munn | Psychologist | 1 Fitchburg St, #c410, Somerville, MA 02143-2136 | 2007-02-08 |
| 1891849345 | Lee Geltman | Psychologist | 240 A Elm St., Journey Women, Somerville, MA 02144 | 2007-01-22 |
| 1831255967 | Timothy John Butler | Psychologist | 15 Eastman Rd, Somerville, MA 02143-1305 | 2007-01-01 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02144 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.