Organization
BRANDEIS UNIVERSITY
Active
Other names
Brandeis University Psychological Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT Y. BERLIN PH.D. (DIRECTOR)
(781) 736-3730
Entity
Organization
Contact information
Practice address
MS 061, 415 SOUTH ST, WALTHAM, MA 02454-9110
(781) 736-3730
(781) 736-3731
Mailing address
MS 061, 415 SOUTH ST, P.O. BOX 549110, WALTHAM, MA 02454-9110
(781) 736-3730
(781) 736-3731
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/16/2007
Last updated
09/11/2025
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