NPIMap

Organization Active NPI

Brookline Psychologist PLLC

Doing business as Beacon Therapy Group

  • Clinical Psychologist
  • Brookline, MA
National Provider Identifier
1730735408
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BROOKLINE PSYCHOLOGIST PLLC
Doing business as
Beacon Therapy Group
Practice address
1051 Beacon St Ste 204
Brookline, MA 02446-5622
Phone
(617) 485-1002
Fax
(617) 485-1003
NPI assigned
Aug 17, 2019
Last updated
Oct 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Authorized official

Name
Dr. Elaine Veracruz, PSYDNPI 1063783421
Title
Founder
Phone
(617) 294-0712

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

1051 Beacon St Ste 204
Brookline, MA 02446-5622

Mailing address

1051 Beacon St Ste 204
Brookline, MA 02446-5622
Phone (617) 485-1002

Other practice location 1

1180 Beacon St Ste 6C
Brookline, MA 02446-3806
Phone (617) 485-1002

Other names 1

  • Beacon Therapy Group Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL simplepractice.com Direct
CONNECT URL SimplePractice.com Direct

National Provider Directory

National Provider Directory

Locations

1051 Beacon St
Ste 204
Brookline, MA 02446
Phone (617) 485-1002

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1730735408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 BEACON ST STE 204",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465622",
            "telephone_number": "617-485-1002",
            "fax_number": "617-485-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 BEACON ST STE 204",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465622",
            "telephone_number": "617-485-1002",
            "fax_number": "617-485-1003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 Beacon St Ste 6C",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024463806",
            "country_code": "US",
            "telephone_number": "617-485-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BROOKLINE PSYCHOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-17",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "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": "1051 Beacon St Ste 204",
            "city": "Brookline",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024465622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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": [
        {
            "organization_name": "Beacon Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.