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Deactivated NPI 1194806976 Deactivated / Inactive NPI Female Practitioner

Dr. Judith Birnbaum , PhD

Psychologist • Wellesley, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Judith Birnbaum has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 18, 2006
NPI Deactivation Date February 28, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Judith Birnbaum, PhD was a registered Psychologist practicing in Wellesley, MA. Throughout an active medical career spanning 16 years, Dr. Birnbaum provided care at the practice location at 486 WASHINGTON ST until profile deactivation on 2022-02-28.

Practice Location & Contact Primary Location

Practice Address

486 Washington St

Wellesley, MA 024825971

Telephone 7812372590
Associated Practice Facility / Clinic
🏢 Richard H Stellar Edd Pc Facility NPI 1063402162

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Wellesley, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 32.3 Yrs
Regional Practice Density
39 Specialists

Practicing in Wellesley, MA (2533 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MA 401

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Paul Johnson , DMD

Dentist - Pediatric Dentistry

NPI 1184656845

Doctor of Dental Medicine

Dr. Stephen Noxon , DMD, MSD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1598811242

Doctor of Dental Medicine, MSD

Dr. Pamela Pappas , DMD

Dentist - Endodontics

NPI 1689688186

Doctor of Dental Medicine

Dr. Richard Pickett , DMD

Dentist - General Practice

NPI 1730256280

Doctor of Dental Medicine

Dr. Allison Baker , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1740449065

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 28, 2022

Record deactivated on February 28, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 486 WASHINGTON ST, WELLESLEY, MA 024825971 (Tel: 7812372590)

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Updated Business Mailing Address July 08, 2007

Registered at 22 BREWSTER RD, SUDBURY, MA 017762408

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Provider Name / Credentials Updated July 08, 2007

Recorded as JUDITH BIRNBAUM, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #401 in MA)

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Initial NPI Registration & Enumeration October 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194806976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2006
Last Update: July 08, 2007
Deactivation Date: February 28, 2022

Mailing Address

22 Brewster Rd

Sudbury, MA 017762408

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.