Organization
OLD COLONY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.
Active
Organization
OLD COLONY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.
Active
Other names
Old Colony Y Comprehensive Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA J DESMOND CPA, MBA (EVP, CFO)
(508) 897-1230
Entity
Organization
Contact information
Practice address
104 TORREY STREET, BROCKTON, MA 02301-4855
(508) 427-4383
(508) 584-4328
Mailing address
104 TORREY STREET, BROCKTON, MA 02301-4855
(508) 427-4383
(508) 584-4328
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4796
MA
1041C0700X
Clinical Social Worker
4796
MA
174H00000X
Health Educator
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
4796
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1319736
—
MA
Enumeration date
12/21/2006
Last updated
03/01/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up