Gouri Datta (NPI# 1528054889, PAC ID# 5395704522) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1528054889 |
| PAC ID by PECOS | 5395704522 |
| Professional Enrollment ID | I20041018000367 |
| Full Name | Gouri Datta |
| Address |
10 Phoenix Row Haverhill MA 01832-5734 |
| Phone Number | 9785211038 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1971 |
| Primary Specialty | PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220171 | LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON |
| Address | Phone | Organization |
|---|---|---|
| 41 Mall Rd, Burlington, MA 01805-0001 | 7817445100 | LAHEY CLINIC INC |
| 10 Phoenix Row, Haverhill, MA 01832-5734 | 9785211038 | |
| 233 Lincoln Ave, Haverhill, MA 01830-6738 | 9783741010 | LAHEY CLINIC INC |
| 290 Merrimack St, Rear 1, Lawrence, MA 01843-1782 | 9786858800 | CENTER FOR PSYCHIATRIC MEDICINE PC |
| 511 W Grove St, Suite 104, Middleboro, MA 02346-1479 | 5089231913 | STEWARD MEDICAL GROUP INC |
| 1 Essex Ctr Dr, Peabody, MA 01960-2901 | 9785384000 | LAHEY CLINIC INC |
| Street Address |
10 PHOENIX ROW |
| City | HAVERHILL |
| State | MA |
| Zip | 01832-5734 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mari Carmen Cintron | Clinical Social Worker | 10 Phoenix Row, Suite 101, Haverhill, MA 01832-5734 | |
| Brian M Dacey | Clinical Social Worker | 10 Phoenix Row, Haverhill, MA 01832-5734 | |
| Rebecca D Harding Fauth | Nurse Practitioner | 10 Phoenix Row, Suite 101, Haverhill, MA 01832-5734 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carole J Brown | Clinical Social Worker | 4 W Parish Court, Blgd 34, Haverhill, MA 01832-1166 | |
| Mark Kevin Lique | Chiropractic | 606 Broadway, Haverhill, MA 01832-1206 | |
| Miguel F Cabrera | Internal Medicine | Essex Inpatient Physicians PC | 126 Monument St, Haverhill, MA 01832-2527 |
| Scott C Hayden | Chiropractic | 30 Lafayette Sq, Haverhill, MA 01832-4739 | |
| Lien-thu V Dao | Optometry | 59 Washington St, Unit 1b, Haverhill, MA 01832-5523 | |
| Richard Jasiak | Optometry | 18 Granite St, Haverhill, MA 01832-5531 | |
| Mark S Messinger | Chiropractic | 93 Washington St, Haverhill, MA 01832-5569 | |
| Diane T Riopelle | Clinical Social Worker | 57 Wingate St, Fl 4, Haverhill, MA 01832-5759 |
| City | HAVERHILL |
| Zip Code | 01832 |
| Specialty | PSYCHIATRY |
| City + Specialty | HAVERHILL + PSYCHIATRY |
Please comment or provide details below to improve the information on Gouri Datta.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.