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DR. JERROLD C. EDELBERG PH.D.
NPI 1619203973
Psychologist - Clinical in South Portland, ME

Active since October 21, 2009
280B GANNETT DR, SOUTH PORTLAND, ME 04106(207) 828-0048(207) 772-3743 Get Directions Write a Review

NPPES record last updated: November 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerrold C. Edelberg Ph.d. NPPES

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

DR. JERROLD C. EDELBERG PH.D. (NPI 1619203973) is an individual clinical provider in South Portland, Maine, licensed in Maine (PS561) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1619203973
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JERROLD C. EDELBERGCredential: PH.D.
Location Address280B GANNETT DRSouth Portland, ME 04106-6940
Mailing Address280b Gannett DrSouth Portland, ME 04106-6940 · (207) 828-0048 · Fax (207) 772-3743
Phone(207) 828-0048
Fax(207) 772-3743
Sole ProprietorNo
Enumeration DateOctober 21, 2009
Last NPPES UpdateNovember 6, 2013
✔ NPI 1619203973 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 ME · PS561
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.
280B GANNETT DR, South Portland, ME 04106
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Other Identifiers 1

Medicaid1053467779ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 8

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

PORT RESOURCES
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
280B GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-0048
MR. MICHAEL PEPIN LMSW-CC
Counselor (Mental Health)
280B GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-0048
JAMIE ROSE LCPC-C, NCC
Counselor (Mental Health)
280B GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-0048
ELIZABETH DUNN
Social Worker (Clinical)
280B GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 772-7185
MS. FRANCES NOLAND RYAN LCSW
Social Worker (Clinical)
280B GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-0048
JAMIE L JANDREAU LCSW
Social Worker (Clinical)
280B GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-0048
NICOLE LABONTE
Social Worker (Clinical)
280B GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-0048
ROBIN SHERMAN
Social Worker (Clinical)
280B GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-0048

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 Jerrold Edelberg's NPI number?

The NPI number for Jerrold Edelberg is 1619203973. It was assigned to this individual provider in the NPPES registry on October 21, 2009.

Where is Jerrold Edelberg located?

Jerrold Edelberg practices at 280B Gannett Dr, South Portland, ME 04106. The listed phone number is (207) 828-0048.

What is Jerrold Edelberg's specialty?

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

What insurance does Jerrold Edelberg accept?

Health plans from Anthem Blue Cross and Blue Shield list Jerrold Edelberg 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 Jerrold Edelberg was last updated on November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.