Dr. Jonathan D Birnberg, PHD
Psychologist in South Portland, Maine
1174674279- Practice location
- 609 Main St, Suite 3, South Portland, ME 04106-5453
- Phone
- 207-775-2220
- Fax
- 207-775-2226
- Last updated
- October 13, 2020
Jonathan David Birnberg is a Psychologist based in South Portland, ME. Jonathan David Birnberg practices in South Portland, ME and has the professional credentials of PHD. The NPI Number for Jonathan David Birnberg is 1174674279 and holds a License No. PS1192 (ME). The current practice location address for Jonathan David Birnberg is 609 Main St, Suite 3, South Portland, ME 04106-5453 and can be reached out via phone at 207-775-2220 and via fax at 207-775-2226.
Provider Profile Details
- NPI Number
- 1174674279
- Provider Name
- Jonathan David Birnberg
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 609 Main St, Suite 3, South Portland, ME 04106-5453
- Phone Number
- 207-775-2220
- Fax Number
- 207-775-2226
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 15, 2007
- Last Update Date
- October 13, 2020
- Certification Date
- October 13, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 609 Main St
Suite 3
South Portland, ME 04106-5453 - City
- South Portland
- State
- Maine
- Zip
- 04106-5453
- Phone Number
- 207-775-2220
- Fax Number
- 207-775-2226
Provider Business Mailing Address Details
- Address
- 332 Pool St
Biddeford, ME 04005-9713 - City
- Biddeford
- State
- ME
- Zip
- 04005-9713
- Phone Number
- 207-775-2220
- Fax Number
- 207-775-2226
License Information
- License Number (1)
- PS1192
- License State (1)
- ME
- Taxonomy (1)
- Psychologist · 103T00000X · Primary
- License Number (2)
- 8077
- License State (2)
- MA
- Taxonomy (2)
- Psychologist · 103T00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jonathan D Birnberg, PHD?
The NPI number of Dr. Jonathan D Birnberg, PHD is 1174674279. It was assigned on January 15, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Jonathan D Birnberg, PHD?
Dr. Jonathan D Birnberg, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in ME under license number PS1192.
Where does Dr. Jonathan D Birnberg, PHD practice?
The practice location is 609 Main St, Suite 3, South Portland, ME 04106-5453. The office can be reached at 207-775-2220 (phone) or 207-775-2226 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174674279 directly on the NPPES registry website.