Active NPIIndividual provider

Dr. Komal Gupta, PSYD

Psychologist, Clinical in Salem, Massachusetts

NPI Number1639364151
Practice location
57 Highland Ave, 2ND Floor, Salem, MA 01970-2141
Fax
—
Last updated
October 13, 2021

Komal Gupta is a Psychologist, Clinical based in Salem, MA. Komal Gupta practices in Salem, MA and has the professional credentials of PSYD. The NPI Number for Komal Gupta is 1639364151 and holds a License No. 9678 (MA). The current practice location address for Komal Gupta is 57 Highland Ave, 2ND Floor, Salem, MA 01970-2141 and can be reached out via phone at 978-354-2705.

Provider Profile Details

NPI Number
1639364151
Provider Name
Komal Gupta
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
57 Highland Ave, 2ND Floor, Salem, MA 01970-2141
Phone Number
978-354-2705
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
September 7, 2007
Last Update Date
October 13, 2021
Certification Date
October 13, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
57 Highland Ave
2ND Floor
Salem, MA 01970-2141
City
Salem
Zip
01970-2141
Phone Number
978-354-2705
Salem, MA 01970Get directions →

Provider Business Mailing Address Details

Address
207 Washington St
Brookline, MA 02445-6866
City
Brookline
State
MA
Zip
02445-6866

License Information

License Number
9678
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Komal Gupta, PSYD?

The NPI number of Dr. Komal Gupta, PSYD is 1639364151. It was assigned on September 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Komal Gupta, PSYD?

Dr. Komal Gupta, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 9678.

Where does Dr. Komal Gupta, PSYD practice?

The practice location is 57 Highland Ave, 2ND Floor, Salem, MA 01970-2141. The office can be reached at 978-354-2705 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639364151 directly on the NPPES registry website.

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