Brookline Psychologist PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BROOKLINE PSYCHOLOGIST PLLC

Practice address

1101 Beacon Street 8W Ste 4
Brookline, MA 02446-0244

Phone

(617) 294-0712

NPI assigned

Aug 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Elaine Veracruz, PSYD

Title

Founder

Phone

(617) 294-0712

Specialties & licenses 3

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1566000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570233600000",
    "number": "1730735408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 MOUNT WASHINGTON ST",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021495108",
            "telephone_number": "617-294-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BEACON STREET 8W STE 4",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024460244",
            "telephone_number": "617-294-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLINE PSYCHOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-17",
        "last_updated": "2019-10-05",
        "status": "A",
        "authorized_official_last_name": "VERACRUZ",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "617-294-0712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice.com",
            "affiliation": "N",
            "endpointDescription": "messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "1101 Beacon Street 8W Ste 4",
            "city": "Brookline",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024460244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brookline Periodental Assoc
• Brookline Progressive Dental Team P.C.
• Brookline Psychiatric and Psychological Care Inc
• Brookline Psychiatry, Inc.
• Brookline Psychological Services
• Brookline Smile Artists
• Brookline Speech, LLC
• Brookline Village Dermatology PC
• Brookline Village OBGYN LLC
• Brookline Vision, LLP

• Clinical Psychologist in Brookline, MA
• Providers in Brookline, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2019; 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.