GESTALT INSTITUTE OF NEW ENGLAND INC


Address: 240 A Elm St., Journey Women, Somerville, MA 02144
Phone: 6177642009

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MA TUFTS HEALTH PLAN MEDICAR 717059 01
MA BLUE CROSS BLUE SHIELD GEW10063 01

Office Location

Street Address 240 A ELM ST.
JOURNEY WOMEN
City SOMERVILLE
State MA
Zip Code 02144

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City SOMERVILLE
Zip Code 02144

Improve Information

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Dataset Information

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.

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