Brookline Adult and Child Counseling Inc

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

BROOKLINE ADULT AND CHILD COUNSELING INC

Practice address

1415 Beacon St Ste 306
Brookline, MA 02446-4812

Phone

(617) 879-0096

NPI assigned

Jul 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Anika Goldman, PSYDNPI 1871518258

Title

Owner

Phone

(617) 879-0096

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 7

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

• Marty Krakowsky, LICSW

  • Clinical Social Worker
  • Quincy, MA
  • NPI 1508812496
  Medicare reassignment NPD
• Anika Goldman, PSY.D.

  • Clinical Psychologist
  • North Easton, MA
  • NPI 1871518258
  NPD Authorized official
• Aruni Ahilan

  • Student in an Organized Health Care Education/Training Program
  • Brookline, MA
  • NPI 1326928789

  Multi-Specialty

  NPD
• Shih Hsi Chen

  • Student in an Organized Health Care Education/Training Program
  • Brookline, MA
  • NPI 1306726765
  NPD
• Kelly Kittredge

  • Clinical Social Worker
  • Brookline, MA
  • NPI 1871393132
  NPD
• Elena Caroline Herold Lapadula, MA

  • Student in an Organized Health Care Education/Training Program
  • Brookline, MA
  • NPI 1609756063
  NPD
• Mindy Duggan, MSW, LCSW

  • Social Worker
  • Brookline, MA
  • NPI 1548126410
  NPD (past)

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1871272286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BEACON ST STE 306",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BEACON ST STE 306",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464812",
            "telephone_number": "617-879-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLINE ADULT AND CHILD COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "ANIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-879-0096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon C Broder, LCSW
• Richard Alan Brodie, M.D.
• David Alexander Brogan, MA, MDIV
• Bryann Bromley, M.D.
• Brookline Acupuncture Clinic
• Brookline Community Mental Health Center
• Brookline Community Mental Health Center
• Brookline Community Mental Health Center Inc
• Brookline Community Mental Health Center Inc.
• Brookline Dental Associates LLC

• Clinical Child & Adolescent Psychologist in Brookline, MA
• Providers in Brookline, MA by specialty
• Clinical Child & Adolescent Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.