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CENTER FOR LIFESPAN DEVELOPMENT
NPI 1205965423
Psychologist - Clinical in Waban, MA

Active since March 05, 2007
91 WYMAN ST, SUITE ONE, WABAN, MA 02468(617) 969-7891 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Center For Lifespan Development NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER FOR LIFESPAN DEVELOPMENT (NPI 1205965423) is a healthcare organization registered as a clinical in Waban, Massachusetts and active in the NPI registry since March 2007. The organization lists Samuel J. Moncata, President, as its authorized official.

NPPES Registry Identity

NPI1205965423
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCENTER FOR LIFESPAN DEVELOPMENT
Location Address91 WYMAN ST, SUITE ONEWaban, MA 02468-1529
Mailing Address91 Wyman St, Suite OneWaban, MA 02468-1529 · (617) 969-7891
Phone(617) 969-7891
Organization SubpartNo
Authorized OfficialSamuel J. MoncataPresident · (617) 969-7891
Enumeration DateMarch 5, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205965423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

91 WYMAN ST, Waban, MA 02468
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY PANTUHOVA, PSY.D., LLC
Psychologist (Clinical)
91 WYMAN ST
WABAN, MA 02468
Middlesex County (617) 332-7596
DR. CATHERINE IONE DUBOIS PSY.D.
Psychologist (Clinical)
91 WYMAN ST
WABAN, MA 02468
Middlesex County (617) 499-9609
DR. JENNIFER A FORD PSY.D.
Psychologist (Clinical)
91 WYMAN ST, SUITE ONE
WABAN, MA 02468
Middlesex County (617) 969-7891
DR. SHARI LYNN NOE PSYD
Psychologist (Clinical)
91 WYMAN ST, SUITE ONE
WABAN, MA 02468
Middlesex County (617) 969-7891
SETH A RAFAL M.D.
Psychiatry & Neurology (Psychiatry)
91 WYMAN ST
WABAN, MA 02468
Middlesex County (617) 332-7596
DR. SAMUEL J. MONCATA PSY.D.
Psychologist (Clinical)
91 WYMAN ST, SUITE ONE
WABAN, MA 02468
Middlesex County (617) 969-7891
DR. MARY KNORRING PANTUHOVA PSY.D.
Psychologist (Clinical)
91 WYMAN ST
WABAN, MA 02468
Middlesex County (617) 332-7596
DR. CAROLINE MILLER PSY.D.
Psychologist (Clinical)
91 WYMAN ST, SUITE 100
WABAN, MA 02468
Middlesex County (314) 809-7073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center For Lifespan Development's NPI number?

The NPI number for Center For Lifespan Development is 1205965423. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Center For Lifespan Development located?

Center For Lifespan Development is located at 91 Wyman St Suite One, Waban, MA 02468. The listed phone number is (617) 969-7891.

What is Center For Lifespan Development's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Center For Lifespan Development was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.