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OLD COLONY Y COMPREHENSIVE COUNSELING
NPI 1366506677
Psychologist - Clinical in Brockton, MA

Active since December 21, 2006
104 TORREY STREET, BROCKTON, MA 02301(508) 427-4383(508) 584-4328 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 15, 2019, Feb 14, 2017 (2 updates tracked since 2017).

About Old Colony Y Comprehensive Counseling NPPES

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

OLD COLONY Y COMPREHENSIVE COUNSELING (NPI 1366506677) is a healthcare organization registered as a clinical in Brockton, Massachusetts and active in the NPI registry since December 2006. The organization lists Donna J Desmond, Evp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1366506677
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameOLD COLONY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.
Location Address104 TORREY STREETBrockton, MA 02301-4855
Mailing Address104 Torrey StreetBrockton, MA 02301-4855 · (508) 427-4383 · Fax (508) 584-4328
Phone(508) 427-4383
Fax(508) 584-4328
Organization SubpartNo
Authorized OfficialDonna J DesmondEvp, Cfo · (508) 897-1230
Enumeration DateDecember 21, 2006
Last NPPES UpdateMarch 1, 20242 updates tracked since enumeration
✔ NPI 1366506677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MA · 4796
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 4796 (MA)
Also ListedHealth EducatorTaxonomy 174H00000X
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 4796 (MA)
104 TORREY STREET, Brockton, MA 02301
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Other Names 1

Doing Business AsOld Colony Y Comprehensive Counseling

Other Identifiers 1

Medicaid1319736MA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Old Colony Y Comprehensive Counseling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Old Colony Y Comprehensive Counseling, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Elaine Wasserman, MSW LICSW ACSW MAC C
Clinical Social Worker
NPI 1972682185
686 N MAIN ST
Brockton, MA 02301
(508) 587-0815
✔ PECOS✔ Accepts Medicare1.4 mi
Alexandra Accardi, MD
Psychiatry
NPI 1740219195
1261 FURNACE BROOK PKWY SUITE 31
Quincy, MA 02169
(617) 479-4545
✔ PECOS12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Old Colony Young Men's Christian Association, Inc.'s NPI number?

The NPI number for Old Colony Young Men's Christian Association, Inc. is 1366506677. It was assigned to this organization in the NPPES registry on December 21, 2006. The provider is doing business as Old Colony Y Comprehensive Counseling.

Where is Old Colony Young Men's Christian Association, Inc. located?

Old Colony Young Men's Christian Association, Inc. is located at 104 Torrey Street, Brockton, MA 02301. The listed phone number is (508) 427-4383.

What is Old Colony Young Men's Christian Association, Inc.'s specialty?

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

Is Old Colony Young Men's Christian Association, Inc. enrolled in Medicare?

Yes. Old Colony Young Men's Christian Association, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Old Colony Young Men's Christian Association, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Old Colony Young Men's Christian Association, Inc., in Clinical Social Worker and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Old Colony Young Men's Christian Association, Inc. was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.