Healthcare Provider Details

I. General information

NPI: 1407524465
Provider Name (Legal Business Name): CAREFULCOUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 09/02/2021
Certification Date: 09/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 WINDSOR RD
BROOKLINE MA
02445-1334
US

IV. Provider business mailing address

73 WINDSOR RD
BROOKLINE MA
02445-1334
US

V. Phone/Fax

Practice location:
  • Phone: 617-576-0852
  • Fax:
Mailing address:
  • Phone: 617-576-0852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JONATHAN E. GOLDBERG
Title or Position: FOUNDER
Credential: PH.D.
Phone: 617-576-0852