Organization
BROOKSIDE COUNSELING ASSOCIATES LLC
Active
Organization
BROOKSIDE COUNSELING ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVID ECKELMAN PHD (MANAGING PARTNER)
(781) 749-4600
Entity
Organization
Contact information
Practice address
62 DERBY ST, STE 13, HINGHAM, MA 02043
(781) 749-4600
(781) 741-8341
Mailing address
62 DERBY ST, STE 13, HINGHAM, MA 02043
(781) 749-4600
(781) 741-8341
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1005990
BEACON HEALTH STRATEGIES
MA
01
—
667145
TUFTS HEALTH PLANS
MA
01
—
P10213
BCBS FOR CLINICAL SOCIAL
MA
01
—
W10414
BCBS FOR PSYCHOLOGISTS
MA
Enumeration date
08/31/2006
Last updated
09/11/2025
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