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

Alice Diane Domar, PHD

Individual provider Cognitive & Behavioral Psychologist · NPI 1417902099

Alice Diane Domar, PHD is a Cognitive & Behavioral Psychologist in Waltham, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
Specialties on file
7
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

130 2nd Ave Boston IVF - Domar Ctr
Waltham, MA 02451-1100
Phone: (781) 434-6578
Fax: (781) 370-2330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X · Licence 4308 (MA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 4308 (MA)
Counseling Psychologist Taxonomy 103TC1900X · Licence 4308 (MA)
Family Psychologist Taxonomy 103TF0000X · Licence 4308 (MA)
Health Service Psychologist Taxonomy 103TH0100X · Licence 4308 (MA)
Psychologist Taxonomy 103T00000X · Licence 4308 (MA)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence 4308 (MA)

Record details

NPI number1417902099
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESSeptember 1, 2009

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