Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JENNIFER E. GISTRAK PSY.D.
NPI 1205836673
Psychologist in Brookline, MA

Active since July 28, 2005PECOS Enrolled
1180 BEACON ST, SUITE 5C, BROOKLINE, MA 02446(617) 335-5244 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jennifer E. Gistrak Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER E. GISTRAK PSY.D. (NPI 1205836673) is an individual psychologist in Brookline, Massachusetts, licensed in Massachusetts (8415) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1205836673
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JENNIFER E. GISTRAKCredential: PSY.D.
Location Address1180 BEACON ST, SUITE 5CBrookline, MA 02446-3885
Mailing Address1180 Beacon St, Suite 5cBrookline, MA 02446-3885 · (617) 335-5244
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 28, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1205836673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · 8415
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1180 BEACON ST, Brookline, MA 02446

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jennifer E. Gistrak Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638109846
PECOS Enrollment IDI20050817000769
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology (Gynecology)
1180 BEACON ST, SUITE 3D
BROOKLINE, MA 02446
Pediatrics
1180 BEACON ST, SUITE 4A
BROOKLINE, MA 02446
Physical Medicine & Rehabilitation
1180 BEACON ST, STE 3C
BROOKLINE, MA 02446
Dentist
1180 BEACON ST, SUITE 2B
BROOKLINE, MA 02446
Psychologist (Clinical)
1180 BEACON ST
BROOKLINE, MA 02446
Physical Therapist
1180 BEACON ST, SUITE 6C
BROOKLINE, MA 02446
Nurse Practitioner (Pediatrics)
1180 BEACON ST
BROOKLINE, MA 02446
Clinic/Center (Multi-Specialty)
1180 BEACON ST, SUITE 5A
BROOKLINE, MA 02446

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Gistrak's NPI number?

The NPI number for Jennifer Gistrak is 1205836673. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Jennifer Gistrak located?

Jennifer Gistrak practices at 1180 Beacon St Suite 5C, Brookline, MA 02446. The listed phone number is (617) 335-5244.

What is Jennifer Gistrak's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jennifer Gistrak enrolled in Medicare?

Yes. Jennifer Gistrak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Gistrak accept?

Health plans from Harvard Pilgrim Health Care list Jennifer Gistrak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Gistrak was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.