Dr. Jonathan David Birnberg, Ph.D.
Psychologist in South Portland, ME. Individual provider (NPI-1).
NPI number1174674279
StatusActive
Last updated in NPPESOct 13, 2020
Details
- NPI
- 1174674279
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jonathan David Birnberg
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 15, 2007
- Certification date
- Oct 13, 2020
- Last updated
- Oct 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PS1192 | ME | Yes |
| 103T00000X | Psychologist | 8077 | MA |
Practice location
609 Main StSuite 3
South Portland, ME 04106-5453
Phone 207-775-2220 · Fax 207-775-2226
Mailing address
332 Pool StBiddeford, ME 04005-9713
Phone 207-775-2220 · Fax 207-775-2226
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychologist providers in South Portland, ME
- Christine Joan Cooke, PH.D.NPI 1205996006
- Kimberly Christine Drouin, PH.D.NPI 1063563161
- Kirsten W Milliken, PH.D.NPI 1336202316
- Carole Orem-Hough, PH.D.NPI 1255445359
- Schewitz Psychological Services INCNPI 1821620188
- Sarah Schewitz, PSY.D.NPI 1326439597
All 7 Psychologist providers in South Portland · All 1,510 providers in South Portland
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.