Organization Active NPI

Cambridge Center for Neuropsychology and Learning

  • Clinical Psychologist
  • Cambridge, MA
National Provider Identifier
1386310670
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CAMBRIDGE CENTER FOR NEUROPSYCHOLOGY AND LEARNING
Practice address
2464 Massachusetts Ave Ste 230
Cambridge, MA 02140-1649
Phone
(617) 354-5050
Fax
(617) 945-5492
NPI assigned
Aug 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Sean Hyde O'Brien, PSYDNPI 1013286897
Title
Owner
Phone
(617) 354-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2464 Massachusetts Ave Ste 230
Cambridge, MA 02140-1649

Mailing address

2464 Massachusetts Ave Ste 230
Cambridge, MA 02140-1649
Phone (617) 354-5050

National Provider Directory

National Provider Directory

Locations

2464 Massachusetts Ave
Ste 230
Cambridge, MA 02140
Phone (617) 354-5050

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1386310670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2464 MASSACHUSETTS AVE STE 230",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401649",
            "telephone_number": "617-354-5050",
            "fax_number": "617-945-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 MASSACHUSETTS AVE STE 230",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401649",
            "telephone_number": "617-354-5050",
            "fax_number": "617-945-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE CENTER FOR NEUROPSYCHOLOGY AND LEARNING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "HYDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-354-5050",
        "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": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.