Brandeis University

NPI #1669689014 in Waltham, Massachusetts

Provider Information

NPI Number: 1669689014
Entity Type: Organization
Organization Name: Brandeis University
Primary Specialty: Psychologist
Enumeration Date: May 16, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: MS 061, 415 SOUTH ST
City: Waltham
State: Massachusetts
ZIP Code: 02454-9110
Phone: (781) 736-3730

Authorized Official

Name: ROBERT Y. BERLIN, PH.D.
Title: DIRECTOR
Phone: (781) 736-3730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Counseling — Counseling	103TC1900X
Psychologist - Prescribing (Medical) — Prescribing (Medical)	103TP0016X
Social Worker - Clinical — Clinical	1041C0700X
Psychologist	103T00000X	Primary

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