Jonathan Tristan Hirschberger
NPI 1083969471ActiveIndividual· Psychologist, Clinical· Needham, MA
Psychologist, Clinical in Needham, Massachusetts, licensed in MA, NH and CT, with an NPI issued in July 2012. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1083969471 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 21, 2012 |
| Last updated in NPPES | Jun 4, 2026 |
| Certified by provider | Jun 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY5000304 | MA |
| Psychologist, Clinical | 103TC0700X | EL32460 | NH |
| Counselor, Mental Health | 101YM0800X | — | — |
| Psychologist, Clinical | 103TC0700X | 4711 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MA) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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All 43 clinical psychologists in Needham · All clinical psychologists in Massachusetts