Individual provider Active NPI

Aurelia Janina Palubeckas, ED.D.

  • Clinical Psychologist
  • Newton, MA
National Provider Identifier
1629195599
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY3049 Issued in MA
Practice address
93 Union St
Suite 409
Newton, MA 02459-2244
Phone
(617) 527-5711
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY3049 MA Primary

Addresses

Primary practice location

93 Union St
Suite 409
Newton, MA 02459-2244

Mailing address

P O Box 600218
Newtonville, MA 02460-0218
Phone (617) 527-5711

Other identifiers 7

IdentifierTypeStateIssuer
329929OtherMAHARVARD-PILGRIM HEALTH CA
706310OtherMATUFTS
3315-01OtherMAPACIFIC CARE BEHAVIORAL H
S004292OtherMACHAMPUS
PY3049OtherMAMA LICENSE
61-09490OtherMAUNITED BEHAVIORAL HEALTH
0522686MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080529000495 MA Practitioner - Clinical Psychologist 3173693405 Practice locations: Newton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

93 Union St
Suite 409
Newton, MA 02459-2241
Phone (617) 527-5711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY3049MAMDClinical Psychologist
3049MAMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1629195599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 600218",
            "city": "NEWTONVILLE",
            "state": "MA",
            "postal_code": "024600218",
            "telephone_number": "617-527-5711",
            "fax_number": "617-527-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 UNION ST",
            "address_2": "SUITE 409",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592244",
            "telephone_number": "617-527-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUBECKAS",
        "first_name": "AURELIA",
        "middle_name": "JANINA",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "PY3049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD-PILGRIM HEALTH CA",
            "identifier": "329929",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "706310",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC CARE BEHAVIORAL H",
            "identifier": "3315-01",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "S004292",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA LICENSE",
            "identifier": "PY3049",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "61-09490",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0522686",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.