1. Home
  2. Directory
  3. Massachusetts
  4. Chicopee
  5. Psychologist
  6. NPI Profile

JUDITH S. NISSENBAUM PH.D
NPI 1023025657
Psychologist - Clinical in Chicopee, MA

Active since August 03, 2006
1109 GRANBY RD, CHICOPEE, MA 01020(413) 523-0900(413) 523-0901 Get Directions Write a Review

NPPES record last updated: February 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Judith S. Nissenbaum Ph.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDITH S. NISSENBAUM PH.D (NPI 1023025657) is an individual clinical provider in Chicopee, Massachusetts, licensed in Massachusetts (3991) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1023025657
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJUDITH S. NISSENBAUMCredential: PH.D
Location Address1109 GRANBY RDChicopee, MA 01020-1568
Mailing Address1109 Granby RdChicopee, MA 01020-1568 · (413) 523-0900 · Fax (413) 523-0901
Phone(413) 523-0900
Fax(413) 523-0901
Sole ProprietorNo
Enumeration DateAugust 3, 2006
Last NPPES UpdateFebruary 23, 2012
✔ NPI 1023025657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MA · 3991
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1109 GRANBY RD, Chicopee, MA 01020
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINS62932MA
Medicare PINW50313MA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENDAN J HEALY
Counselor (Mental Health)
1109 GRANBY RD
CHICOPEE, MA 01020
Hampden County (822) 243-8255
JASON RENE PLOURDE LCSW
Social Worker (Clinical)
1109 GRANBY RD
CHICOPEE, MA 01020
Hampden County (833) 243-8255
LEAONARD MELNICK LICSW
Social Worker
1109 GRANBY RD
CHICOPEE, MA 01020
Hampden County (413) 523-0900
AMANDA MCKEON
Registered Nurse
1109 GRANBY RD
CHICOPEE, MA 01020
Hampden County (413) 887-2947
MICHAEL A CORRIVEAU LPN
Licensed Practical Nurse
1109 GRANBY RD
CHICOPEE, MA 01020
Hampden County (413) 213-5668
FADHEL ANNASIRY
Counselor (Mental Health)
1109 GRANBY RD
CHICOPEE, MA 01020
Hampden County (833) 243-8255
ARIANA MARIE WORD
Counselor
1109 GRANBY RD
CHICOPEE, MA 01020
Hampden County (833) 243-8255
KAITLYN SMALL
Counselor (Mental Health)
1109 GRANBY RD
CHICOPEE, MA 01020
Hampden County (833) 243-8255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judith Nissenbaum's NPI number?

The NPI number for Judith Nissenbaum is 1023025657. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Judith Nissenbaum located?

Judith Nissenbaum practices at 1109 Granby Rd, Chicopee, MA 01020. The listed phone number is (413) 523-0900.

What is Judith Nissenbaum's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Judith Nissenbaum was last updated on February 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.