CAROL SUE BIRNBAUM M.D.
NPI 1184749004
Psychiatry & Neurology - Psychiatry in Cambridge, MA

Active since March 20, 2007Opted out of Medicare · through Feb 5, 2028
328 BROADWAY, CAMBRIDGE, MA 02139(617) 868-9302 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carol Sue Birnbaum M.d. NPPES

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

CAROL SUE BIRNBAUM M.D. (NPI 1184749004) is an individual psychiatry provider in Cambridge, Massachusetts, licensed in Massachusetts (75786) and active in the NPI registry since March 2007. She has opted out of Medicare through February 5, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184749004
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameCAROL SUE BIRNBAUMCredential: M.D.
Location Address328 BROADWAYCambridge, MA 02139-1840
Mailing Address328 BroadwayCambridge, MA 02139-1840 · (617) 868-9302
Sole ProprietorNo
Enumeration DateMarch 20, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1184749004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in MA · 75786
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

328 BROADWAY, Cambridge, MA 02139

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Carol Sue Birnbaum M.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 February 5, 2016 through February 5, 2028.

Opt-Out Effective DateFebruary 5, 2016
Opt-Out In Effect ThroughFebruary 5, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02139 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

Psychologist (Clinical)
328 BROADWAY
CAMBRIDGE, MA 02139
Psychologist (Clinical)
328 BROADWAY
CAMBRIDGE, MA 02139
Social Worker (Clinical)
328 BROADWAY
CAMBRIDGE, MA 02139
Psychiatry & Neurology (Psychiatry)
328 BROADWAY
CAMBRIDGE, MA 02139
Social Worker (Clinical)
328 BROADWAY
CAMBRIDGE, MA 02139
Social Worker (Clinical)
328 BROADWAY
CAMBRIDGE, MA 02139
Psychologist (Clinical)
328 BROADWAY
CAMBRIDGE, MA 02139
Psychiatry & Neurology (Psychiatry)
328 BROADWAY
CAMBRIDGE, MA 02139

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 Carol Sue Birnbaum's NPI number?

The NPI number for Carol Sue Birnbaum is 1184749004. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Carol Sue Birnbaum located?

Carol Sue Birnbaum practices at 328 Broadway, Cambridge, MA 02139. The listed phone number is (617) 868-9302.

What is Carol Sue Birnbaum's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Carol Sue Birnbaum enrolled in Medicare?

No. Carol Sue Birnbaum has opted out of Medicare through February 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carol Sue Birnbaum was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.