JANE HANENBERG ED.D.
NPI 1881749950
Psychologist in Watertown, MA

Active since January 25, 2007Opted out of Medicare · through Jan 22, 2027
173 MT. AUBURN ST., WATERTOWN, MA 02472(617) 924-3119(617) 924-3119 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jane Hanenberg Ed.d. NPPES

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

JANE HANENBERG ED.D. (NPI 1881749950) is an individual psychologist in Watertown, Massachusetts, licensed in Massachusetts (3239) and active in the NPI registry since January 2007. She has opted out of Medicare through January 22, 2027.

NPPES Registry Identity

NPI1881749950
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJANE HANENBERGCredential: ED.D.
Location Address173 MT. AUBURN ST.Watertown, MA 02472-4005
Mailing Address173 Mt. Auburn St.Watertown, MA 02472-4005 · (617) 924-3119 · Fax (617) 924-3119
Fax(617) 924-3119
Sole ProprietorYes
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1881749950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · 3239
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
173 MT. AUBURN ST., Watertown, MA 02472

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jane Hanenberg Ed.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 January 22, 2025 through January 22, 2027.

Opt-Out Effective DateJanuary 22, 2025
Opt-Out In Effect ThroughJanuary 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Jane Hanenberg's NPI number?

The NPI number for Jane Hanenberg is 1881749950. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Jane Hanenberg located?

Jane Hanenberg practices at 173 Mt. Auburn St., Watertown, MA 02472. The listed phone number is (617) 924-3119.

What is Jane Hanenberg's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jane Hanenberg enrolled in Medicare?

No. Jane Hanenberg has opted out of Medicare through January 22, 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 Jane Hanenberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.