Organization · Type 2 NPI

Brandeis University

Psychologist · Waltham, MA

NPI number 1669689014 Active

Practice location

Ms 061, 415 South St
Waltham, MA 02454-9110

Fax (781) 736-3731

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Psychologist Primary 103T00000XNone listed
Clinical Psychologist 103TC0700XNone listed
Counseling Psychologist 103TC1900XNone listed
Prescribing (Medical) Psychologist 103TP0016XNone listed
Clinical Social Worker 1041C0700XNone listed

Psychologist: 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 adjustmen…

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About NPI 1669689014

Brandeis University's National Provider Identifier is 1669689014, issued on May 16, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Waltham, MA. The record was last updated on Sep 11, 2025.