DR. CARL SCOTT FREEMAN GUSTAFSON


Address: 1074 Main St, West Barnstable, MA 02668-1142
Phone: 5083621180

DR. CARL SCOTT FREEMAN GUSTAFSON (NPI# 1972682557) 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) 1972682557
Entity Type Individual
Full Name DR. CARL SCOTT FREEMAN GUSTAFSON
Other Name DR. CARL SCOTT GUSTAFSON
Credential PSY.D.
Practice Address 1074 Main St
West Barnstable
MA 02668-1142
Mailing Address 104 Brigantine Dr
Hatchville
MA 02536-3958
Practice Telephone 5083621180
Practice Fax Number 5083627048
Mailing Telephone 5085635037
Enumeration Date 2006-11-03
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 8060 MA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 0502944 05

Office Location

Street Address 1074 MAIN ST
City WEST BARNSTABLE
State MA
Zip Code 02668-1142

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659477446 Allied Health Providers PC Psychologist 1074 Main St, West Barnstable, MA 02668-1142 2006-09-16
1952616120 Cape Cod Psychological Testing, Inc. Psychologist 1074 Main St, West Barnstable, MA 02668-1142 2010-08-12
1356541916 Margery Kistin Anzalone Psychologist 1074 Main St, West Barnstable, MA 02668-1142 2007-07-23
1881755841 Geoffrey Neil Cohen Psychologist 1074 Main St, West Barnstable, MA 02668-1142 2006-12-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427234087 Joel P. Dwyer Cpo Prosthetics and Orthotics Prosthetic/Orthotic Supplier 45 Whitecap Lane, W. Barnstable, MA 02668 2008-01-14
1962622035 Kathleen M Robbins Social Worker 10 Angela Way, West Barnstable, MA 02668 2007-04-30
1538279955 Joel P Dwyer Durable Medical Equipment & Medical Supplies 45 White Cap Lane, West Barnstable, MA 02668 2006-08-30
1609892355 Lorraine Wincor Psychologist 10 Locust Ave, West Barnstable, MA 02668 2006-07-14
1831628056 Athena Marie Marshall Registered Nurse 86 Oak St, West Barnstable, MA 02668 2017-06-10
1174950166 Constance Anne Felker Licensed Practical Nurse 600 Main Street, West Barnstable, MA 02668 2013-10-04
1639263304 Sandra Orenstein Social Worker 1025 Main St, Rte 6a, W Barnstable, MA 02668 2006-10-03
1528042876 Ann Solomon-schwartz Marriage & Family Therapist 1025 Rte 6a, W Barnstable, MA 02668-0347 2005-11-30
1932338795 Brenda Marie Tri Specialist 2051 Main St, West Barnstable, MA 02668-1118 2009-07-14
1932338704 Diamondsedge Farm Foundation Day Training, Developmentally Disabled Services 2051 Main St, West Barnstable, MA 02668-1118 2009-07-14
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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
1235225897 Herbert J. Greenwald Psychologist 1074 Main Street (route 6a), West Barnstable, MA 02668-1142 2006-10-04
1609892355 Lorraine Wincor Psychologist 10 Locust Ave, West Barnstable, MA 02668 2006-07-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578162798 Psychological Transformation Psychologist 348 Cambridge Rd # 115, Woburn, MA 01801-6037 2020-10-19
1841897345 Sade Callwood Psychologist 185 Devonshire St Ste 800, Boston, MA 02110-1414 2020-10-07
1982210480 Aaron Rezendes Psyd LLC Psychologist 38 Dow St, Framingham, MA 01702-7220 2020-09-20
1184239808 Morgan Eleanor Smigielski Psychologist 65 Park Dr Apt 18, Boston, MA 02215-5238 2020-09-10
1821601568 Dr. Chelsea Levy Licensed Psychologist LLC Psychologist 203 Spring St, Medford, MA 02155-2814 2020-08-24
1679183230 Holly Muller Psychologist 225 Friend St, Boston, MA 02114-1800 2020-08-07
1285242123 Ruth Brim Balser Psychologist 36 Audubon Dr, Chestnut Hill, MA 02467-2621 2020-07-16
1952929184 Sarah Joanna Schoffstall Psychologist 32 Hastings St, Framingham, MA 01701-7954 2020-07-14
1225655871 Sasha Fleary Psychologist 28 Walter St, Hyde Park, MA 02136-2973 2020-06-30
1760008635 Katherine Renda Florek Psychologist 2 Collins Rd, Hingham, MA 02043-2017 2020-06-17
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Competitor

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City WEST BARNSTABLE
Zip Code 02668

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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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