Jonathan David Birnberg, PH.D.
NPI 1174674279ActiveIndividual· Psychologist· South Portland, ME
Psychologist (PH.D.) in South Portland, Maine, licensed in ME and MA, with an NPI issued in January 2007. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1174674279 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Jan 15, 2007 |
| Last updated in NPPES | Oct 13, 2020 |
| Certified by provider | Oct 13, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PS1192 | ME |
| Psychologist | 103T00000X | 8077 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (ME) |
|---|
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