Active NPI
Nicolae Dumitrascu, PHD
- Clinical Psychologist
- Brookline, MA
National Provider Identifier
1083926547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9738
- Practice address
- 126 Harvard St Ste 3
Brookline, MA 02446-6473 - Phone
- (617) 407-0276
- NPI assigned
- Jul 12, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 9738 | MA | Primary |
Addresses
Primary practice location
126 Harvard St Ste 3
Brookline, MA 02446-6473
Mailing address
84 Bradford Rd Unit 2
Watertown, MA 02472-1217
Phone (617) 407-0276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9738 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1083926547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 BRADFORD RD UNIT 2",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024721217",
"telephone_number": "617-407-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 HARVARD ST STE 3",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024466473",
"telephone_number": "617-407-0276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMITRASCU",
"first_name": "NICOLAE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-12",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "9738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.