Active NPIIndividual provider

Dr. Ellen A Doernberg, PHD

Psychologist, Clinical Child & Adolescent in Newton, Massachusetts

NPI Number1598310575
Practice location
109 Oak St Ste G-10, Newton, MA 02464-1492
Fax
—
Last updated
July 14, 2026

Ellen A Doernberg is a Psychologist, Clinical Child & Adolescent based in Newton, MA. Ellen A Doernberg practices in Newton, MA and has the professional credentials of PHD. The NPI Number for Ellen A Doernberg is 1598310575 and holds a License No. PSY10001930 (MA). The current practice location address for Ellen A Doernberg is 109 Oak St Ste G-10, Newton, MA 02464-1492 and can be reached out via phone at 617-658-5600.

Provider Profile Details

NPI Number
1598310575
Provider Name
Ellen A Doernberg
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
109 Oak St Ste G-10, Newton, MA 02464-1492
Phone Number
617-658-5600
Primary Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X
Sole Proprietor
No
Provider Enumeration Date
August 6, 2019
Last Update Date
July 14, 2026
Certification Date
July 14, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
109 Oak St Ste G-10
Newton, MA 02464-1492
City
Newton
Zip
02464-1492
Phone Number
617-658-5600
Newton, MA 02464Get directions →

Provider Business Mailing Address Details

Address
340 Turnpike St Ste 1-3A
Canton, MA 02021-2700
City
Canton
State
MA
Zip
02021-2700
Phone Number
781-619-1500
Fax Number
781-619-1509

License Information

License Number
PSY10001930
License State
MA
Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Ellen A Doernberg, PHD?

The NPI number of Dr. Ellen A Doernberg, PHD is 1598310575. It was assigned on August 6, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Ellen A Doernberg, PHD?

Dr. Ellen A Doernberg, PHD is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in MA under license number PSY10001930.

Where does Dr. Ellen A Doernberg, PHD practice?

The practice location is 109 Oak St Ste G-10, Newton, MA 02464-1492. The office can be reached at 617-658-5600 (phone).

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 1598310575 directly on the NPPES registry website.

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