BOSTON NEUROPSYCHOLOGICAL SERVICES, LLC


Address: 687 Highland Avenue, 2nd Floor, Needham, MA 02494
Phone: 7815598444

BOSTON NEUROPSYCHOLOGICAL SERVICES, LLC (NPI# 1407048432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407048432
Entity Type Organization
Organization Name BOSTON NEUROPSYCHOLOGICAL SERVICES, LLC
Practice Address 687 Highland Avenue
2nd Floor
Needham
MA 02494
Mailing Address 687 Highland Avenue
2nd Floor
Needham
MA 02494-2409
Practice Telephone 7815598444
Practice Fax Number 7815598117
Mailing Telephone 7815598444
Mailing Fax Number 7815598117
Enumeration Date 2007-08-14
Last Update Date 2019-05-29
Authorized Official Name DR. KEVIN A DOMINGOS (CLINICAL DIRECTOR)
Authorized Official Telephone 7815598444
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA BLUE CROSS/BLUE SHIELD W10647 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1942533740 Boston Neuropsychological Services, LLC Speech-Language Pathologist 687 Highland Ave Ste 2, Needham, MA 02494-2232 2009-09-10

Office Location

Street Address 687 HIGHLAND AVENUE
2ND FLOOR
City NEEDHAM
State MA
Zip Code 02494

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134604531 Allison Nicole Lamb Physical Therapist 145 Rosemary St Ste K3, Needham Heights, MA 02494 2018-10-01
1386126324 Judy R Heithmar Social Worker 237 Highland Avenue, Needham, MA 02494 2018-09-06
1215414032 Sarah Moore-ede Registered Nurse 224 Hunnewell St, Needham Heights, MA 02494 2018-07-24
1336638857 Kaitlin Kramer Speech-Language Pathologist 145 Rosemary St. Suite C, Children's Speech and Feeding Therapy, Inc., Needham, MA 02494 2018-05-10
1831687607 Molly Alexandra Cleveland Speech-Language Pathologist Children's Speech and Feeding Therapy Inc., 145 Rosemary St. Suite C, Needham, MA 02494 2018-04-27
1851808364 Sally Barbara Miller Social Worker 50 Cabot Street Suite 206, Plan of Massachusetts and Rhode Island, Needham, MA 02494 2018-01-05
1518406453 Ddmdmd Dental Associates Dentist 32 Wexford St, Needham, MA 02494 2017-02-13
1508312745 Brittany Lee Bernier Social Worker 687 Highland Avenue - 3rd Floor, Needham Heights, MA 02494 2016-08-28
1760839914 Catherine Nasser Counselor 400 Hunnewell St, Suite 6r, Needham, MA 02494 2016-05-18
1104294248 Shirley Huang Speech-Language Pathologist 160 Gould Street, Needham, MA 02494 2015-09-07
Find all providers in zip 02494

Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487909529 Anna Ruth Moldover Hebert Clinical Neuropsychologist 687 Highland Ave Ste 2, Needham, MA 02494-2232 2012-07-15
1316111826 Katharine D Smith Clinical Neuropsychologist 60 Dedham Ave Ste 202, Needham, MA 02492-3068 2008-04-15
1396840724 Shelley L Rattet Clinical Neuropsychologist 75 Second Ave, Suite 320 Hallowell Center, Needham, MA 02494 2006-09-13
1255878575 Rachel Song Clinical Neuropsychologist 687 Highland Ave, Needham, MA 02494 2017-01-24
1568838415 Alice Armstrong Clinical Neuropsychologist 60 Kendrick St, Suite 204, Needham, MA 02494-2726 2015-08-14
1265673933 Michael A Fearing Clinical Neuropsychologist 687 Highland Ave, Needham, MA 02494-2232 2009-03-10
1063579183 Mark H. Keeler Clinical Neuropsychologist 687 Highland Ave, Needham, MA 02494-2232 2007-01-02
1184798688 David B. Wolff Clinical Neuropsychologist 10 Oak St, Needham, MA 02492-2409 2006-11-17
1710057880 Marci Cloutier Clinical Neuropsychologist 10 Oak St, Needham, MA 02492-2409 2006-11-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154949873 Erica Rose Appleman Clinical Neuropsychologist 134 Horace St, Boston, MA 02128-1581 2020-07-09
1578187613 Nancy Schneider-pruett Clinical Neuropsychologist The Neuropsychology Service, 100 Cummings Center, Beverly, MA 01982 2020-06-04
1194365312 Erin Grace Kitchener Clinical Neuropsychologist 1 Wells Ave Fl 4, Newton, MA 02459-3211 2020-01-15
1407330509 Coastal Psychological Center, LLC. Clinical Neuropsychologist 36 Woburn St Ste 6, Reading, MA 01867-2903 2018-09-24
1881102515 Matthew S Conway Clinical Neuropsychologist 26 Chestnut St Ste 2e, Andover, MA 01810-3600 2018-01-16
1811415326 Francesca Lavecchia Clinical Neuropsychologist Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 2017-09-05
1346792637 Margaret Alice Mcphee Clinical Neuropsychologist 29 Regina Dr, Chelmsford, MA 01824-4540 2016-11-02
1154870814 Jessica Pan Clinical Neuropsychologist 1 Bowdoin St, 7th Floor, Boston, MA 02114-4201 2016-09-22
1508217506 Donald Bearden Clinical Neuropsychologist 30 Iroquois St, Unit 33, Roxbury Crossing, MA 02120-2848 2016-06-30
1497115612 Susan Magocsi Clinical Neuropsychologist 13 Meetinghouse Ln, Milton, MA 02186-2415 2016-03-01
Find all providers with the same taxonomy

Competitor

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City NEEDHAM
Zip Code 02494

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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