DR. TARA MCKEE COUSINEAU PH.D. NPI 1346296381

NPI Information

  • NPI: 1346296381
  • Provider Name: DR. TARA MCKEE COUSINEAU, PH.D.
  • Classification: Psychologist - 103TB0200X
  • Specialization: Cognitive & Behavioral
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 130 2ND AVE
    BOSTON IVF - DOMAR CENTER
    WALTHAM, MA
    ZIP 02451
  • Phone: (781) 434-6578

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NPI Details

DR. Tara Mckee Cousineau, PH.D. is a cognitive and behavioral psychologist in Waltham, MA. The provider is 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. DR. Tara Mckee Cousineau, PH.D. NPI is 1346296381. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

130 2ND AVE
BOSTON IVF - DOMAR CENTER
WALTHAM, MA
ZIP 02451-100
Phone: (781) 434-6578
Fax: (781) 370-2330

The NPI 1346296381 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 5/25/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & Behavioral7312MASSACHUSETTSYes
2103TC0700XPsychologistClinical7312MASSACHUSETTSX
3103TH0100XPsychologistHealth Service7312MASSACHUSETTSX
4103TC1900XPsychologistCounseling7312MASSACHUSETTSX
5103TF0000XPsychologistFamily7312MASSACHUSETTSX
6103TP2701XPsychologistGroup Psychotherapy7312MASSACHUSETTSX
7103T00000XPsychologist7312MASSACHUSETTSX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W-50290MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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