Healthcare Provider Details
I. General information
NPI: 1003963091
Provider Name (Legal Business Name): CEC PARTNERS, LLP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
193 OAK ST SUITE 1
NEWTON MA
02464-1457
US
IV. Provider business mailing address
193 OAK ST SUITE 1
NEWTON MA
02464-1457
US
V. Phone/Fax
- Phone: 617-641-0900
- Fax: 617-641-0930
- Phone: 617-641-0900
- Fax: 617-641-0930
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103G00000X |
| Taxonomy | Clinical Neuropsychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TB0200X |
| Taxonomy | Cognitive & Behavioral Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RAFAEL
CASTRO
Title or Position: CO-DIRECTOR
Credential: PH.D
Phone: 617-641-0900