Provider Demographics
NPI:1588806897
Name:PSYCHOLOGICAL SOLUTIONS FOR CHILDREN & FAMILIES,
Entity Type:Organization
Organization Name:PSYCHOLOGICAL SOLUTIONS FOR CHILDREN & FAMILIES,
Other - Org Name:CHILD AND FAMILY PSYCHOLOGY SOLUTION, PC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JILL
Authorized Official - Middle Name:S
Authorized Official - Last Name:GOLDBERG ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:781-201-9866
Mailing Address - Street 1:73 AZALEA RD
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067
Mailing Address - Country:US
Mailing Address - Phone:781-201-9866
Mailing Address - Fax:
Practice Address - Street 1:5 WALPOLE ST,
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062
Practice Address - Country:US
Practice Address - Phone:781-201-9866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8963103T00000X, 103TC0700X, 103TC2200X
PAPS015476103T00000X, 103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty