DR. REBECCA S. KORNBLATT PSY.D.
NPI 1174710669
Psychologist - Clinical in Newton, MA
- Individual
- Female
- Psychologist
- Clinical
- Opted-Out Medicare
About REBECCA KORNBLATT
This page provides the complete NPI Profile along with additional information for Rebecca Kornblatt, a provider established in Newton, Massachusetts with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1174710669 assigned on September 2007. The practitioner's primary taxonomy code is 103TC0700X with license number 9176 (MA). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1174710669 Verify this NPI
- Provider Name
- DR. REBECCA S. KORNBLATT PSY.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 10 LANGLEY RD SUITE 200 NEWTON, MA 02459
- Location Phone
- (617) 615-6525
- Mailing Address
- 10 LANGLEY RD SUITE 200 NEWTON, MA 02459
- Mailing Phone
- (617) 615-6525
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-27-2007
- Last Update Date
- 01-18-2012
- Code Navigator
A clinical psychologist like Rebecca Kornblatt assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Rebecca Kornblatt opted out of Medicare effective on 06-09-2025 until 06-09-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 9176
- License State
- MA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | 017233-1 (NY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0015725 | OTHER (01) | MA | MEDICARE PTAN |
| V50501 | MEDICARE PIN (08) | NY |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 06-09-2025
Opt-Out End Date: 06-09-2027
Eligible to Order and Refer? No
Reviews for DR. REBECCA S. KORNBLATT PSY.D.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
NEWTON, MA 02459
NEWTON CENTRE, MA 02459
NEWTON, MA 02459
NEWTON CENTRE, MA 02459
NEWTON, MA 02459
NEWTON CENTRE, MA 02459
NEWTON, MA 02459
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174710669, enumerated as an "individual" on September 27, 2007.
The provider is located at 10 LANGLEY RD SUITE 200 NEWTON, MA 02459 and the phone number is (617) 615-6525.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
