DR. REBECCA S. KORNBLATT PSY.D.
NPI 1174710669
Psychologist - Clinical in Newton, MA

Active since September 27, 2007Opted out of Medicare · through Jun 9, 2027
10 LANGLEY RD, SUITE 200, NEWTON, MA 02459(617) 615-6525 Get Directions Write a Review

NPPES record last updated: January 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Rebecca S. Kornblatt Psy.d. NPPES

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

DR. REBECCA S. KORNBLATT PSY.D. (NPI 1174710669) is an individual clinical provider in Newton, Massachusetts, licensed in Massachusetts (9176) and active in the NPI registry since September 2007. She has opted out of Medicare through June 9, 2027.

NPPES Registry Identity

NPI1174710669
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. REBECCA S. KORNBLATTCredential: PSY.D.
Location Address10 LANGLEY RD, SUITE 200Newton, MA 02459-1972
Mailing Address10 Langley Rd, Suite 200Newton, MA 02459-1972 · (617) 615-6525
Sole ProprietorYes
Enumeration DateSeptember 27, 2007
Last NPPES UpdateJanuary 18, 2012
NPI 1174710669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in MA · 9176 Licensed in NY · 017233-1
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.
10 LANGLEY RD, Newton, MA 02459

Other Identifiers 2

Other0015725MA · Medicare Ptan
Medicare PINV50501NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Rebecca S. Kornblatt Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 9, 2025 through June 9, 2027.

Opt-Out Effective DateJune 9, 2025
Opt-Out In Effect ThroughJune 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Marriage & Family Therapist
10 LANGLEY RD, SUITE 200
NEWTON CENTRE, MA 02459
Clinic/Center (Hearing and Speech)
10 LANGLEY RD, SUITE 305
NEWTON CENTRE, MA 02459
Podiatrist
10 LANGLEY RD, STE 201
NEWTON CENTRE, MA 02459
Speech-Language Pathologist
10 LANGLEY RD, SUITE 305
NEWTON, MA 02459
Psychologist (Clinical)
10 LANGLEY RD, SUITE 401
NEWTON CENTRE, MA 02459
Psychologist
10 LANGLEY RD, SUITE 401
NEWTON CENTRE, MA 02459
Psychiatry & Neurology (Psychiatry)
10 LANGLEY RD, SUITE 304
NEWTON CENTRE, MA 02459
Social Worker (Clinical)
10 LANGLEY RD, SUITE 200
NEWTON, MA 02459

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 Rebecca Kornblatt's NPI number?

The NPI number for Rebecca Kornblatt is 1174710669. It was assigned to this individual provider in the NPPES registry on September 27, 2007.

Where is Rebecca Kornblatt located?

Rebecca Kornblatt practices at 10 Langley Rd Suite 200, Newton, MA 02459. The listed phone number is (617) 615-6525.

What is Rebecca Kornblatt's specialty?

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

Is Rebecca Kornblatt enrolled in Medicare?

No. Rebecca Kornblatt has opted out of Medicare through June 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Rebecca Kornblatt was last updated on January 18, 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.