Active NPI
Marilyn Lisker Birnbaum, PH.D.
- Clinical Psychologist
- Worcester, MA
National Provider Identifier
1619997947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2530
- Practice address
- 338 Highland St
C/O Newton Square Counseling Center
Worcester, MA 01602-2143 - Phone
- (508) 752-5880
- Fax
- (508) 831-9967
- NPI assigned
- Jul 20, 2006
- Last updated
- Mar 31, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2530 | MA | Primary |
Addresses
Primary practice location
338 Highland St
C/O Newton Square Counseling Center
Worcester, MA 01602-2143
Mailing address
338 Highland St
C/O Newton Square Counseling Center
Worcester, MA 01602-2143
Phone (508) 752-5880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2530 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centrus Premier Home Care Inc | Past | Accepting new patients | |
| Prescott Health Care | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Plymouth, MA
- NPI 1194711226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269993600000",
"number": "1619997947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 HIGHLAND ST",
"address_2": "C/O NEWTON SQUARE COUNSELING CENTER",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016022143",
"telephone_number": "508-752-5880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 HIGHLAND ST",
"address_2": "C/O NEWTON SQUARE COUNSELING CENTER",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016022143",
"telephone_number": "508-752-5880",
"fax_number": "508-831-9967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISKER BIRNBAUM",
"first_name": "MARILYN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2010-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "2530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.