SOREN R. EKSTROM PH.D.
NPI 1477763316
Psychologist - Clinical in Watertown, MA

Q: What is Soren Ekstrom's NPI number?

The NPI number for Soren Ekstrom is 1477763316. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Soren Ekstrom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Soren Ekstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 22, 2007

29 CHESTER ST, WATERTOWN, MA 02472(617) 923-6086 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Soren R. Ekstrom Ph.d. NPPES

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

SOREN R. EKSTROM PH.D. (NPI 1477763316) is an individual clinical provider in Watertown, Massachusetts, licensed in Massachusetts (3505) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1477763316

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameSOREN R. EKSTROMCredential: PH.D.

Location Address29 CHESTER STWatertown, MA 02472-4002

Mailing Address29 Chester StWatertown, MA 02472-4002 · (617) 923-6086

Phone(617) 923-6086

Sole ProprietorYes

Enumeration DateMay 22, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1477763316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MA · 3505

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.

29 CHESTER ST, Watertown, MA 02472

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Other Identifiers 1

Other3505MA · Psychology License

Other Providers at the Same Location NPPES

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

SOREN R. EKSTROM, INC.

Psychologist (Clinical)

29 CHESTER ST
WATERTOWN, MA 02472

Middlesex County (617) 923-6086

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 Soren Ekstrom's NPI number?

The NPI number for Soren Ekstrom is 1477763316. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Soren Ekstrom located?

Soren Ekstrom practices at 29 Chester St, Watertown, MA 02472. The listed phone number is (617) 923-6086.

What is Soren Ekstrom'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 Soren Ekstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.