Reid, Omar Gamal
Reid, Omar Gamal is an sole proprietor health care provider with primary practice located at 895 Blue Hill Avenue 1960 Washington Street, Roxbury, Ma 02119, Boston MA 02124. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Reid, Omar Gamal can be contacted via phone (617) 822-0829.Contact Information
Primary practice address
895 Blue Hill Avenue 1960 Washington Street, Roxbury, Ma 02119
Boston MA 02124
Phone: (617) 822-0829
Fax: (617) 825-7804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1209 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 456 | Massachusetts |
| Behavioral Health & Social Service Providers / School | 103TS0200X | Massachusetts | |
| Behavioral Health & Social Service Providers / School | 103TS0200X | New York |
Profile Details
| NPI number | 1922212810 |
|---|---|
| LBN Legal business name | Reid, Omar Gamal |
| Credentials | PSY.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922212810 | NPPES |
| Massachusetts | Other | 0027092100 | AETNA |
| Massachusetts | Other | 365360 | AETNA |
| Massachusetts | Other | 000000023252 | AETNA |
| Massachusetts | Other | 1028430 | AETNA |
| Massachusetts | Other | 009133 | AETNA |
| Massachusetts | Other | 463577 | AETNA |
| Massachusetts | Other | LM0778 | AETNA |
| Massachusetts | Other | 1891324 | AETNA |
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