PETER G. AUBUCHON PH.D.
NPI 1336331669
Psychologist - Clinical in Bala Cynwyd, PA

Active since August 10, 2007Opted out of Medicare · through Apr 1, 2027
1 BALA AVE, SUITE 230, BALA CYNWYD, PA 19004(610) 667-6055(610) 667-5026 Get Directions Write a Review

NPPES record last updated: August 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peter G. Aubuchon Ph.d. NPPES

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

PETER G. AUBUCHON PH.D. (NPI 1336331669) is an individual clinical provider in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (PS005094L) and active in the NPI registry since August 2007. He has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1336331669
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NamePETER G. AUBUCHONCredential: PH.D.
Location Address1 BALA AVE, SUITE 230Bala Cynwyd, PA 19004-3212
Mailing Address1 Bala Ave, Suite 230Bala Cynwyd, PA 19004-3212 · (610) 667-6055 · Fax (610) 667-5026
Fax(610) 667-5026
Sole ProprietorYes
Enumeration DateAugust 10, 2007
NPI 1336331669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in PA · PS005094L
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.

1 BALA AVE, Bala Cynwyd, PA 19004

Other Identifiers 1

Medicare UPIN577731PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Peter G. Aubuchon Ph.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 April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 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.

Counselor (Professional)
1 BALA AVE, SUITE 110
BALA CYNWYD, PA 19004
Psychologist
1 BALA AVE, BALA CHILD & FAMILY STE 125
BALA CYNWYD, PA 19004
Social Worker (Clinical)
1 BALA AVE, SUITE 216
BALA CYNWYD, PA 19004
Community/Behavioral Health
1 BALA AVE, SUITE 110
BALA CYNWYD, PA 19004
Social Worker (Clinical)
1 BALA AVE, 220
BALA CYNWYD, PA 19004
Psychologist (Clinical)
1 BALA AVE, SUITE 228
BALA CYNWYD, PA 19004
Internal Medicine
1 BALA AVE, SUITE 300
BALA CYNWYD, PA 19004
In Home Supportive Care
1 BALA AVE, SUITE LL-3
BALA CYNWYD, PA 19004

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 Peter Aubuchon's NPI number?

The NPI number for Peter Aubuchon is 1336331669. It was assigned to this individual provider in the NPPES registry on August 10, 2007.

Where is Peter Aubuchon located?

Peter Aubuchon practices at 1 Bala Ave Suite 230, Bala Cynwyd, PA 19004. The listed phone number is (610) 667-6055.

What is Peter Aubuchon's specialty?

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

Is Peter Aubuchon enrolled in Medicare?

No. Peter Aubuchon has opted out of Medicare through April 1, 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 Peter Aubuchon was last updated on August 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.