DR. JONATHAN DAVID BIRNBERG PH.D.
NPI 1174674279
Psychologist in South Portland, ME

Active since January 15, 2007PECOS EnrolledAccepts Medicare Assignment
609 MAIN ST, SUITE 3, SOUTH PORTLAND, ME 04106(207) 775-2220(207) 775-2226 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jonathan David Birnberg Ph.d. NPPES

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

DR. JONATHAN DAVID BIRNBERG PH.D. (NPI 1174674279) is an individual psychologist in South Portland, Maine, licensed in Maine (PS1192) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1174674279
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JONATHAN DAVID BIRNBERGCredential: PH.D.
Location Address609 MAIN ST, SUITE 3South Portland, ME 04106-5453
Mailing Address332 Pool StBiddeford, ME 04005-9713 · (207) 775-2220 · Fax (207) 775-2226
Fax(207) 775-2226
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 15, 2007
Last NPPES UpdateOctober 13, 2020
NPPES CertifiedOctober 13, 2020
NPI 1174674279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in ME · PS1192 Licensed in MA · 8077
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
609 MAIN ST, South Portland, ME 04106

Other Identifiers 3

Other808393000MA · Magellan
Other0005266ME · Medicare Ptan
OtherW06273MA · Bcbs Of Mass.

Accepted 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. Jonathan David Birnberg 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 ID4183611858
PECOS Enrollment IDI20080509000531
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.

Other Providers at the Same Location NPPES 4

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

Psychologist
609 MAIN ST, SUITE 3
SOUTH PORTLAND, ME 04106
Social Worker (Clinical)
609 MAIN ST, SUITE 4
SOUTH PORTLAND, ME 04106
Social Worker (Clinical)
609 MAIN ST, SUITE 4
S PORTLAND, ME 04106
Social Worker (Clinical)
609 MAIN ST, SUITE 4
SOUTH PORTLAND, ME 04106

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 Jonathan Birnberg's NPI number?

The NPI number for Jonathan Birnberg is 1174674279. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Jonathan Birnberg located?

Jonathan Birnberg practices at 609 Main St Suite 3, South Portland, ME 04106. The listed phone number is (207) 775-2220.

What is Jonathan Birnberg's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jonathan Birnberg enrolled in Medicare?

Yes. Jonathan Birnberg 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 Jonathan Birnberg accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Jonathan Birnberg 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 Jonathan Birnberg was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.