Healthcare Provider Details

I. General information

NPI: 1861977696
Provider Name (Legal Business Name): NATALIE GAIDA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2018
Last Update Date: 10/25/2026
Certification Date: 10/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 GREENDALE AVE UNIT 6
NEEDHAM MA
02492-4436
US

IV. Provider business mailing address

118 PARTRIDGE NEST DR
FULTONHAM NY
12071-2008
US

V. Phone/Fax

Practice location:
  • Phone: 774-421-9499
  • Fax:
Mailing address:
  • Phone: 774-421-9499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1857
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: