Brandeis University

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

BRANDEIS UNIVERSITY

Practice address

415 South St # Ms 034
Waltham, MA 02453

Phone

(781) 736-3677

Fax

(781) 736-3675

NPI assigned

Mar 8, 2016

Organization subpart

No

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

Authorized official

Name

Samuel Solomon

Title

Cfo

Phone

(781) 736-8539

Specialties & licenses 1

Addresses

Tax ID family

Brandeis University3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Brandeis University

  • Case Manager/Care Coordinator
  • Waltham, MA
  • NPI 1295126894
  NPD tax ID
• Brandeis University

  • Psychologist
  • Waltham, MA
  • NPI 1669689014
  NPD tax ID

Locations

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1588025217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SOUTH ST # MS 034",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532728",
            "telephone_number": "781-736-3677",
            "fax_number": "781-736-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SOUTH ST # MS 034",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02453",
            "telephone_number": "781-736-3677",
            "fax_number": "781-736-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDEIS UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "781-736-8539"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Bowsher, PT
• David Benjamin Boyce, M.D.
• Carmen D. Brambila, D.M.D.
• Branch and Bend Therapy, LLC
• Brandeis University
• Brandeis University
• Abigail Maree Brayton-Chung, OTR/L
• Andrew Braziel, M.D.
• Linda M. Bresette, NP
• Rommell Brewster

• Student Health Clinic/Center in Waltham, MA
• Providers in Waltham, MA by specialty
• Student Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.