Center For Lifespan Development
Psychologist, Clinical in Waban, Massachusetts
1205965423- Practice location
- 91 Wyman St, Suite One, Waban, MA 02468-1529
- Phone
- 617-969-7891
- Fax
- —
- Last updated
- August 22, 2020
Center For Lifespan Development is a healthcare organization based in Waban, MA. Center For Lifespan Development practices in Waban, MA. The NPI Number for Center For Lifespan Development is 1205965423. The current practice location address for Center For Lifespan Development is 91 Wyman St, Suite One, Waban, MA 02468-1529 and can be reached out via phone at 617-969-7891.
Provider Profile Details
- NPI Number
- 1205965423
- Provider Name
- Center For Lifespan Development
- Provider Entity Type
- Organization
- Address
- 91 Wyman St, Suite One, Waban, MA 02468-1529
- Phone Number
- 617-969-7891
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Dr. Samuel J. Moncata, PSYD · President · 617-969-7891
- Provider Enumeration Date
- March 5, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 91 Wyman St
Suite One
Waban, MA 02468-1529 - City
- Waban
- State
- Massachusetts
- Zip
- 02468-1529
- Phone Number
- 617-969-7891
Provider Business Mailing Address Details
- Address
- 91 Wyman St
Suite One
Waban, MA 02468-1529 - City
- Waban
- State
- MA
- Zip
- 02468-1529
- Phone Number
- 617-969-7891
License Information
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Center For Lifespan Development?
The NPI number of Center For Lifespan Development is 1205965423. It was assigned on March 5, 2007 and is currently active in the NPPES registry.
What is the specialty of Center For Lifespan Development?
Center For Lifespan Development is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).
Where does Center For Lifespan Development practice?
The practice location is 91 Wyman St, Suite One, Waban, MA 02468-1529. The office can be reached at 617-969-7891 (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 1205965423 directly on the NPPES registry website.