DR. OMAR GAMAL REID PSY.D NPI 1922212810

NPI Information

NPI: 1922212810
Provider Name: DR. OMAR GAMAL REID, PSY.D
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
895 BLUE HILL AVENUE
1960 WASHINGTON STREET, ROXBURY, MA 02119
BOSTON, MA
ZIP 02124
Phone: (617) 822-0829
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DR. Omar Gamal Reid, PSY.D is a mental health counselor in Boston, MA. DR. Omar Gamal Reid, PSY.D NPI is 1922212810. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

895 BLUE HILL AVENUE
1960 WASHINGTON STREET, ROXBURY, MA 02119
BOSTON, MA
ZIP 02124
Phone: (617) 822-0829
Fax: (617) 825-7804

The enumeration date for this NPI number is 5/9/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	1209	MASSACHUSETTS	Yes
2	103TC2200X	Psychologist	Clinical Child & Adolescent	456	MASSACHUSETTS	X
3	103TS0200X	Psychologist	School		MASSACHUSETTS	X
4	103TS0200X	Psychologist	School		NEW YORK	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000023252	OTHER	MASSACHUSETTS	BMC HEALTHNET
2	009133	OTHER	MASSACHUSETTS	HARVARD PILGRIM PBH UBH
3	LM0778	OTHER	MASSACHUSETTS	BLUE CROSS & BLUE SHIELD
4	365360	OTHER	MASSACHUSETTS	MAGELLAN
5	1028430	OTHER	MASSACHUSETTS	NHP
6	1891324	OTHER	MASSACHUSETTS	MBHP
7	0027092100	OTHER	MASSACHUSETTS	AETNA
8	463577	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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