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Individual

DR. OMAR GAMAL REID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D

Contact information

Practice address
895 BLUE HILL AVENUE, 1960 WASHINGTON STREET, ROXBURY, MA 02119, BOSTON, MA 02124
(617) 822-0829
(617) 825-7804
Mailing address
PO BOX 190781, BOSTON, MA 02119-0015
(617) 230-6158
(617) 825-7804

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1209
MA
103TC2200X
Clinical Child & Adolescent Psychologist
456
MA
103TS0200X
School Psychologist
MA
103TS0200X
School Psychologist
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000023252
BMC HEALTHNET
MA
01
0027092100
AETNA
MA
01
009133
HARVARD PILGRIM PBH UBH
MA
01
1028430
NHP
MA
01
1891324
MBHP
MA
01
365360
MAGELLAN
MA
01
463577
TUFTS HEALTH PLAN
MA
01
LM0778
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
05/09/2007
Last updated
09/11/2025
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