Individual provider Active NPI

David Nguyen, PH.D.

  • Clinical Psychologist
  • Brookline, MA
National Provider Identifier
1891341293
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11168 Issued in MA
Practice address
1415 Beacon St Ste 122
Brookline, MA 02446-4822
Phone
(617) 657-4504
NPI assigned
Aug 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2485 NH
Clinical Psychologist 103TC0700X 11168 MA Primary

Addresses

Primary practice location

1415 Beacon St Ste 122
Brookline, MA 02446-4822

Mailing address

1415 Beacon St Ste 122
Brookline, MA 02446-4822
Phone (617) 657-4504

Other practice location 1

2000 Massachusetts Ave Ste 4
Cambridge, MA 02140-2100
Phone (617) 657-4504

Other practice location 2

1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200130002358 MA Practitioner - Clinical Psychologist 8729414388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.27 of 100Reported as group
Quality
77.51
Promoting interoperability
100
Improvement activities
40
Cost
76.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2485NHMDPsychologist
11168MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
It Just Hurts LLC Psychologist Current Accepting new patients
Cambridge Public Health Commission CurrentSince Dec 9, 2019 Accepting new patients
Cambridge Public Health Commission CurrentSince Dec 9, 2019 Accepting new patients

Locations

2000 Massachusetts Ave
Ste 4
Cambridge, MA 02140
Phone (617) 447-4435

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583

26 Central St
Somerville, MA 02143
Phone (617) 591-6033

Interoperability endpoints

  • Direct secure messaging: dnguyen98503@direct.challiance.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1891341293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BEACON ST STE 122",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464822",
            "telephone_number": "617-657-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BEACON ST STE 122",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464822",
            "telephone_number": "617-657-4504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Massachusetts Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021402100",
            "country_code": "US",
            "telephone_number": "617-657-4504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1493 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021391047",
            "country_code": "US",
            "telephone_number": "617-665-1356",
            "fax_number": "617-665-1365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "2485",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.