Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Old Colony Young Men's Christian Association, Inc

Organization Clinical Psychologist · NPI 1366506677

Old Colony Young Men's Christian Association, Inc provides Clinical Psychologist services 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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