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Old Colony Young Men's Christian Association, Inc.
Child & Adolescent Psychiatry Physician in Brockton, Massachusetts
NPI 1366506677

Old Colony Young Men's Christian Association, Inc. is a Child & Adolescent Psychiatry Physician based in Brockton, MA and is specialized in Child & Adolescent Psychiatry. Old Colony Young Men's Christian Association, Inc. practices in Brockton, MA. The NPI Number for Old Colony Young Men's Christian Association, Inc. is 1366506677 and holds a License No. 4796 (Massachusetts).

The current practice location address for Old Colony Young Men's Christian Association, Inc. is 104 Torrey Street, Brockton, MA and can be reached out via phone at 508-427-4383 and via fax at 508-584-4328. You can also correspond with Old Colony Young Men's Christian Association, Inc. through the mailing address at 104 TORREY STREET, BROCKTON, MA - 02301-4855 (mailing address contact number: 508-427-4383).

Location: 104 Torrey Street, Brockton, MA, 02301-4855
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366506677
Provider Name
Old Colony Young Men's Christian Association, Inc.
Credential
Provider Entity Type
Organization
Address
104 Torrey Street, Brockton, MA, 02301-4855
Phone Number
508-427-4383
Fax Number
508-584-4328
Provider Enumeration Date
12/21/2006
Last Update Date
04/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1319736 05 MA
institution
Provider Business Practice Location Address Details
Address
104 Torrey Street
City
Brockton
State
Massachusetts
Zip
02301-4855
Phone Number
508-427-4383
Fax Number
508-584-4328
person
Provider Business Mailing Address Details
Address
104 Torrey Street
City
Brockton
State
Massachusetts
Zip
02301-4855
Phone Number
508-427-4383
Fax Number
508-584-4328
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
4796 (Massachusetts)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Health Educator
Speciality
-
Taxonomy
174H00000X
License No.
4796 (Massachusetts)
Definition
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
4796 (Massachusetts)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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