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DR. JEWELL K WALDBAUM PH.D.
NPI 1124024005
Psychologist - Clinical in Spring Valley, NY

Active since June 24, 2005PECOS EnrolledAccepts Medicare Assignment
12 HAWK ST, SPRING VALLEY, NY 10977(845) 356-6329(845) 425-0144 Get Directions Write a Review

NPPES record last updated: December 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jewell K Waldbaum Ph.d. NPPES

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

DR. JEWELL K WALDBAUM PH.D. (NPI 1124024005) is an individual clinical provider in Spring Valley, New York, licensed in New York (3934) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1967).

NPPES Registry Identity

NPI1124024005
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JEWELL K WALDBAUMCredential: PH.D.
Location Address12 HAWK STSpring Valley, NY 10977-6104
Mailing Address12 Hawk StSpring Valley, NY 10977-6104 · (845) 356-6329 · Fax (845) 425-0144
Phone(845) 356-6329
Fax(845) 425-0144
Sole ProprietorYes
Medical School CMSOtherGraduated 1967
Enumeration DateJune 24, 2005
Last NPPES UpdateDecember 9, 2010
✔ NPI 1124024005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 3934
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.
Also ListedPsychologistTaxonomy 103T00000X · License 3934 (NY)
Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License 3934 (NY)
12 HAWK ST, Spring Valley, NY 10977
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Other Identifiers 3

Medicare ID-Type UnspecifiedV22991Medicare Number
Other0081767Ghi Identification Number
Other3934NY · New York State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jewell K Waldbaum Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587850789
PECOS Enrollment IDI20101130001120
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10977 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jewell Waldbaum's NPI number?

The NPI number for Jewell Waldbaum is 1124024005. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Jewell Waldbaum located?

Jewell Waldbaum practices at 12 Hawk St, Spring Valley, NY 10977. The listed phone number is (845) 356-6329.

What is Jewell Waldbaum's specialty?

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

Is Jewell Waldbaum enrolled in Medicare?

Yes. Jewell Waldbaum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jewell Waldbaum accept?

Health plans from Providence Health Plan list Jewell Waldbaum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jewell Waldbaum was last updated on December 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.