Active NPIOrganization

Breaking Waves Psychology

Psychologist, Clinical in Jamaica Plain, Massachusetts

NPI Number1033866405
Practice location
21 Germania St, Jamaica Plain, MA 02130-2427
Fax
—
Last updated
March 7, 2022

Breaking Waves Psychology is a healthcare organization based in Jamaica Plain, MA. Breaking Waves Psychology practices in Jamaica Plain, MA. The NPI Number for Breaking Waves Psychology is 1033866405. The current practice location address for Breaking Waves Psychology is 21 Germania St, Jamaica Plain, MA 02130-2427 and can be reached out via phone at 617-774-7343.

Provider Profile Details

NPI Number
1033866405
Provider Name
Breaking Waves Psychology
Provider Entity Type
Organization
Address
21 Germania St, Jamaica Plain, MA 02130-2427
Phone Number
617-774-7343
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Organization Subpart
No
Authorized Official
Dr. Juliana Rezende, PSYD · Owner · 617-774-7343
Provider Enumeration Date
March 7, 2022
Last Update Date
March 7, 2022
Certification Date
March 7, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Germania St
Jamaica Plain, MA 02130-2427
Zip
02130-2427
Phone Number
617-774-7343
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
21 Germania St
Jamaica Plain, MA 02130-2427
City
Jamaica Plain
State
MA
Zip
02130-2427
Phone Number
617-774-7343

License Information

Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Psychologist, Clinical providers near Jamaica Plain, MA

View all Psychologist, Clinical providers in Jamaica Plain →

Frequently Asked Questions

What is the NPI number of Breaking Waves Psychology?

The NPI number of Breaking Waves Psychology is 1033866405. It was assigned on March 7, 2022 and is currently active in the NPPES registry.

What is the specialty of Breaking Waves Psychology?

Breaking Waves Psychology is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).

Where does Breaking Waves Psychology practice?

The practice location is 21 Germania St, Jamaica Plain, MA 02130-2427. The office can be reached at 617-774-7343 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033866405 directly on the NPPES registry website.

Browse related providers