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ALICE DIANE DOMAR PH.D.
NPI 1417902099
Psychologist - Cognitive & Behavioral in Waltham, MA

Active since May 23, 2006
130 2ND AVE, BOSTON IVF - DOMAR CENTER, WALTHAM, MA 02451(781) 434-6578(781) 370-2330 Get Directions Write a Review

NPPES record last updated: September 1, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alice Diane Domar Ph.d. NPPES

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

ALICE DIANE DOMAR PH.D. (NPI 1417902099) is an individual cognitive & behavioral provider in Waltham, Massachusetts, licensed in Massachusetts (4308) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1417902099
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameALICE DIANE DOMARCredential: PH.D.
Location Address130 2ND AVE, BOSTON IVF - DOMAR CENTERWaltham, MA 02451-1100
Mailing Address130 2nd Ave, Boston Ivf - Domar CenterWaltham, MA 02451-1100 · (781) 434-6578 · Fax (781) 370-2330
Phone(781) 434-6578
Fax(781) 370-2330
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateSeptember 1, 2009
✔ NPI 1417902099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in MA · 4308
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Also ListedPsychologistTaxonomy 103T00000X · License 4308 (MA)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 4308 (MA)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 4308 (MA)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 4308 (MA)
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License 4308 (MA)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 4308 (MA)
130 2ND AVE, Waltham, MA 02451
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedW04271MA
Medicare UPINE23404MA

Other Providers at the Same Location NPPES 13

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

ANAESTHESIA ASSOCIATES OF MASSACHUSETTS, PC
Anesthesiology
130 2ND AVE
WALTHAM, MA 02451
Middlesex County (781) 434-6400
BOSTON IVF, INC.
Obstetrics & Gynecology
130 2ND AVE, BOSTON IVF, INC.
WALTHAM, MA 02451
Middlesex County (781) 434-6500
ELIZABETH SUSAN BLUMBERG PSY.D.
Counselor (Mental Health)
130 2ND AVE, BOSTON IVF - DOMAR CENTER FOR MIND/BODY HEALTH
WALTHAM, MA 02451
Middlesex County (781) 434-6578
DR. MERLE JAY BERGER M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
130 2ND AVE, BOSTON IVF - THE WALTHAM CENTER
WALTHAM, MA 02451
Middlesex County (781) 434-6500
BOSTON IVF, INC.
Obstetrics & Gynecology (Reproductive Endocrinology)
130 2ND AVE, BOSTON IVF, INC.
WALTHAM, MA 02451
Middlesex County (781) 434-6500
DR. TARA MCKEE COUSINEAU PH.D.
Psychologist
130 2ND AVE, BOSTON IVF - DOMAR CENTER
WALTHAM, MA 02451
Middlesex County (781) 434-6578
BOSTON IVF, INC.
Clinical Medical Laboratory
130 2ND AVE, BOSTON IVF, INC. - LAB
WALTHAM, MA 02451
Middlesex County (781) 434-6400
DR. RITA M. SNEERINGER M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
130 2ND AVE, BOSTON IVF - THE WALTHAM CENTER
WALTHAM, MA 02451
Middlesex County (781) 434-6500

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 Alice Domar's NPI number?

The NPI number for Alice Domar is 1417902099. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Alice Domar located?

Alice Domar practices at 130 2nd Ave Boston Ivf - Domar Center, Waltham, MA 02451. The listed phone number is (781) 434-6578.

What is Alice Domar's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Alice Domar was last updated on September 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.