Child and Adolescent Psychological Services, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

8840 Issued in MA

Legal business name

CHILD AND ADOLESCENT PSYCHOLOGICAL SERVICES, PLLC

Practice address

75 2ND Ave Ste 450
Needham, MA 02494-2855

Phone

(508) 667-2557

NPI assigned

Nov 16, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Dania Braunstein Gaffin, PH.D.NPI 1700041589

Title

Owner/Manager

Phone

(508) 667-2557

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.

• Dania Braunstein Gaffin, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Needham, MA
  • NPI 1700041589
  NPD Authorized official

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1194238824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 DELA PARK RD",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902940",
            "telephone_number": "781-449-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 2ND AVE STE 450",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942855",
            "telephone_number": "508-667-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND ADOLESCENT PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "GAFFIN",
        "authorized_official_first_name": "DANIA",
        "authorized_official_middle_name": "BRAUNSTEIN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "508-667-2557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MA",
            "license": "8840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Needham, MA
• Providers in Needham, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.