Active NPI
Tara McKee Cousineau, PH.D.
- Psychologist
- Waltham, MA
National Provider Identifier
1346296381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7312
- Practice address
- 130 2ND Ave
Boston Ivf - Domar Center
Waltham, MA 02451-1100 - Phone
- (781) 434-6578
- Fax
- (781) 370-2330
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 7312 | MA | |
| Clinical Psychologist | 103TC0700X | 7312 | MA | |
| Health Service Psychologist | 103TH0100X | 7312 | MA | |
| Counseling Psychologist | 103TC1900X | 7312 | MA | |
| Family Psychologist | 103TF0000X | 7312 | MA | |
| Group Psychotherapy Psychologist | 103TP2701X | 7312 | MA | |
| Psychologist | 103T00000X | 7312 | MA | Primary |
Addresses
Primary practice location
130 2ND Ave
Boston Ivf - Domar Center
Waltham, MA 02451-1100
Mailing address
1631 Canton Ave
Milton, MA 02186-2313
Phone (617) 333-0630
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7312 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1346296381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 CANTON AVE",
"city": "MILTON",
"state": "MA",
"postal_code": "021862313",
"telephone_number": "617-333-0630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 2ND AVE",
"address_2": "BOSTON IVF - DOMAR CENTER",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511100",
"telephone_number": "781-434-6578",
"fax_number": "781-370-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUSINEAU",
"first_name": "TARA",
"middle_name": "MCKEE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "7312",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7312",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "MA",
"license": "7312",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "7312",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MA",
"license": "7312",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "MA",
"license": "7312",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "7312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.