Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Old Colony Young Men'S Christian Association, Inc.

Clinical Psychologist in Brockton, MA · enumerated 2006 · authorized official Donna Desmond, Evp, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366506677

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Registry record

Entity type Organization (Type 2)

Legal business name Old Colony Young Men'S Christian Association, Inc.

Other name <Unavail>

Practice address 104 Torrey Street, Brockton, MA, 02301

Phone (508) 427-4383

Fax (508) 584-4328

Enumeration date Dec 21, 2006

Last updated in NPPES Mar 1, 2024

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 4796 (MA) Primary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 4796 (MA) Secondary

174H00000X Health Educator Other Service Providers Secondary

2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians · License 4796 (MA) Secondary

Authorized official

Name Donna Desmond

Title Evp, Cfo

Phone (508) 897-1230

Other identifiers

Identifier	Type	State	Issuer
1319736	Medicaid	MA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-03-01. Verify at npiregistry.cms.hhs.gov.

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

The practice location on file with NPPES is in Brockton, MA.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-01.