Provider Type Icon

BRANDEIS UNIVERSITY NPI 1669689014


NPI Information

NPI: 1669689014
Provider Name: BRANDEIS UNIVERSITY

Doing Business As: BRANDEIS UNIVERSITY PSYCHOLOGICAL COUNSELING CENTER

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 22D2017906

Address:
MS 061, 415 SOUTH ST
WALTHAM, MA
ZIP 02454
Phone: (781) 736-3730
Get Directions

BRANDEIS UNIVERSITY is a mental health counselor in Waltham, MA. BRANDEIS UNIVERSITY NPI is 1669689014. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Brandeis University Psychological Counseling Center.

The provider's business location address is:

MS 061, 415 SOUTH ST
WALTHAM, MA
ZIP 02454-110
Phone: (781) 736-3730
Fax: (781) 736-3731

The provider's authorized official is Robert Y. Berlin .
The authorized official title is Director and has the following contact phone number (781) 736-3730.

The CLIA number assigned to this NPI record is 22D2017906 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes
2103T00000XPsychologistX
3103TC0700XPsychologistClinicalX
4103TC1900XPsychologistCounselingX
5103TP0016XPsychologistPrescribing (Medical)X
61041C0700XSocial WorkerClinicalX

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.