Breaking Waves Psychology

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BREAKING WAVES PSYCHOLOGY

Practice address

21 Germania St
Jamaica Plain, MA 02130-2427

Phone

(617) 774-7343

NPI assigned

Mar 7, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Juliana Rezende, PSYDNPI 1427426766

Title

Owner

Phone

(617) 774-7343

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juliana Rezende, PSYD

  • Clinical Psychologist
  • Boston, MA
  • NPI 1427426766
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1033866405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GERMANIA ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302427",
            "telephone_number": "617-774-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GERMANIA ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302427",
            "telephone_number": "617-774-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKING WAVES PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "REZENDE",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-774-7343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G J Bradish, LMHC
• Daniella Bradley
• Brittany Brady
• Lindsay Brainerd
• Miriam Rose Braude, L.I.C.S.W
• Courtney Breen, M.A.
• Claudia Briceno, MA
• Bridge Boston Charter School
• Brigham & Women'S Hospital
• Brigham & Womens Hospital

• Clinical Psychologist in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.