MEDICARE: DR. BROOKE G MCKENNA PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	6301019679	MI

General Provider Information

NPI Number	:	1922936749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BROOKE G MCKENNA PH.D.

Provider Business Mailing Address
First Line	:	11 ELLERY ST APT 11
Second Line	:
City	:	CAMBRIDGE
State	:	MA
Zip	:	02138-5305
Country	:	US
Telephone Number	:	919-428-1174
Fax Number	:

Provider Business Practice Location Address
First Line	:	1330 BEACON ST STE 324
Second Line	:
City	:	BROOKLINE
State	:	MA
Zip	:	02446-3203
Country	:	US
Telephone Number	:	919-428-1174
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

Similar Medicare Providers

1831103852 — DR. PAUL W. EFTHIM PH.D.
Practice Location Address:

1330 BEACON ST STE 340
BROOKLINE, MA
02446-3203

Practice Phone: 617-734-4644
Practice Fax:

1588764757 — DR. LYNDA MORRIS PARHAM PH.D.
Practice Location Address:

1330 BEACON ST , STE 327
BROOKLINE, MA
02446-3203

Practice Phone: 617-358-1804
Practice Fax:

1316076383 — DR. KEITH KIM IRVING PH.D.
Practice Location Address:

1330 BEACON ST STE 340
BROOKLINE, MA
02446-3203

Practice Phone: 617-277-6324
Practice Fax:

1184804247 — MS. JACQUELYN M. TURPIN LICSW
Practice Location Address:

1330 BEACON ST STE 326
BROOKLINE, MA
02446-3203

Practice Phone: 617-522-6388
Practice Fax:

1841744935 — MS. JING LI
Practice Location Address:

1330 BEACON ST STE 350
BROOKLINE, MA
02446-3203

Practice Phone: 857-227-9252
Practice Fax:

1700306172 — DR. CAROL CHU YU PHD
Practice Location Address:

1330 BEACON ST STE 324
BROOKLINE, MA
02446-3203

Practice Phone: 215-439-3577
Practice Fax:

Directions to “ DR. BROOKE G MCKENNA PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.