Old Colony Young Men'S Christian Association, Inc.
NPI 1366506677 · Clinical Psychologist · Brockton, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Old Colony Young Men'S Christian Association, Inc. is a Clinical Psychologist organization in Brockton, MA (NPI 1366506677).
Provider details
- NPI number
- 1366506677
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Donna Desmond, Evp, Cfo(508) 897-1230
- License
- 4796 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Health Educator174H00000X
Other Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Old Colony Y Comprehensive Counseling
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2024-03-01
Frequently asked questions
- What is Old Colony Young Men'S Christian Association, Inc.'s NPI number?
- Old Colony Young Men'S Christian Association, Inc.'s National Provider Identifier (NPI) is 1366506677, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Colony Young Men'S Christian Association, Inc.?
- Old Colony Young Men'S Christian Association, Inc. is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Old Colony Young Men'S Christian Association, Inc. located?
- Old Colony Young Men'S Christian Association, Inc.'s practice location on file with NPPES is 104 Torrey Street, Brockton, MA 02301-4855.
- What is Old Colony Young Men'S Christian Association, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Old Colony Young Men'S Christian Association, Inc. is (508) 427-4383.
- Does Old Colony Young Men'S Christian Association, Inc. accept Medicare?
- Old Colony Young Men'S Christian Association, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Old Colony Young Men'S Christian Association, Inc.?
- The authorized official listed on Old Colony Young Men'S Christian Association, Inc.'s NPPES record is Donna Desmond, Evp, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Colony Young Men'S Christian Association, Inc.'s NPI active?
- Yes — Old Colony Young Men'S Christian Association, Inc.'s NPI (1366506677) is active in the NPPES registry as of the last update on 2024-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.