Old Colony Young Men's Christian Association, Inc.
Psychology
104 Torrey Street, Brockton
Massachusetts, 02301-4855
508-427-4383 508-584-4328
Maps & DirectionsOld Colony Young Men's Christian Association, Inc. is a Psychology Clinic in Brockton, Massachusetts. It is located at 104 Torrey Street, Brockton, MA and its contact number is 508-427-4383. The authorized person for Old Colony Young Men's Christian Association, Inc. is Ms. Donna J Desmond
who is Evp, Cfo of the clinic and his/her contact number is 508-897-1230. The primary license number for Old Colony Young Men's Christian Association, Inc. is 4796 (Clinical) in Massachusetts.
Old Colony Young Men's Christian Association, Inc. Clinic is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Clinic Profile:
Old Colony Young Men's Christian Association, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Old Colony Young Men's Christian Association, Inc. |
| Specialization: | Psychology |
| Clinic Address: | 104 Torrey Street, Brockton, Massachusetts, 02301-4855 |
| Phone: | 508-427-4383 |
| Fax: | 508-584-4328 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Donna J Desmond |
| Position: | Evp, Cfo |
| Contact Number: | 508-897-1230 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Old Colony Young Men's Christian Association, Inc. clinic are as mentioned below.
| NPI Number: | 1366506677 |
| NPI Enumeration Date: | 21 Dec, 2006 |
| NPI Last Update On: | 01 Mar, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Old Colony Young Men's Christian Association, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinical | 4796 | Massachusetts | Primary | |
| Clinical | 4796 | Massachusetts | Secondary | |
| Health Educator | | | Secondary | |
| Child & Adolescent Psychiatry | 4796 | Massachusetts | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1319736 | Medicaid | Massachusetts | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Old Colony Young Men's Christian Association, Inc. 104 Torrey Street, Brockton, Massachusetts |
| Zip: | 02301-4855 |
| Phone Number: | 508-427-4383 |
| Fax Number: | 508-584-4328 |
Patients can reach Old Colony Young Men's Christian Association, Inc. at
104 Torrey Street, Brockton, Massachusetts or can
call to book an appointment on 508-427-4383.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.