Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Old Colony Young Men's Christian Association, Inc

Organization Clinical Psychologist · NPI 1366506677

Old Colony Young Men's Christian Association, Inc is a Clinical Psychologist in Brockton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 Torrey St
Brockton, MA 02301-4855
Phone: (508) 427-4383
Fax: (508) 584-4328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 4796 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4796 (MA)
Health Educator Taxonomy 174H00000X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 4796 (MA)

Record details

NPI number1366506677
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donna Desmond — Evp, Cfo · (508) 897-1230
Other names Old Colony Y Comprehensive Counseling
NPI enumeratedDecember 21, 2006
Last updated in NPPESMarch 1, 2024
Mailing address104 Torrey Street, Brockton, MA 02301-4855

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