BOSTON NEUROPSYCHOLOGICAL SERVICES LLC NPI 1407048432

NPI Information

NPI: 1407048432
Provider Name: BOSTON NEUROPSYCHOLOGICAL SERVICES, LLC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address: 687 HIGHLAND AVENUE
2ND FLOOR
NEEDHAM, MA
ZIP 02494
Phone: (781) 559-8444

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NPI Details

BOSTON NEUROPSYCHOLOGICAL SERVICES, LLC is a clinical neuropsychologist in Needham, MA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. BOSTON NEUROPSYCHOLOGICAL SERVICES, LLC NPI is 1407048432. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

687 HIGHLAND AVENUE
2ND FLOOR
NEEDHAM, MA
ZIP 02494
Phone: (781) 559-8444
Fax: (781) 559-8117

The provider's authorized official is Kevin A Domingos .
The authorized official title is Clinical Director and has the following contact phone number (781) 559-8444.

The enumeration date for this NPI number is 8/14/2007 and was last updated on 5/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103TC0700X	Psychologist	Clinical	No
2	101YM0800X	Counselor	Mental Health	No
3	103G00000X	Clinical Neuropsychologist		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W10647	OTHER	MASSACHUSETTS	BLUE CROSS/BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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