Active NPI
Aurelia Janina Palubeckas, ED.D.
- Clinical Psychologist
- Newton, MA
National Provider Identifier
1629195599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY3049
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 329929 | Other | MA | HARVARD-PILGRIM HEALTH CA |
| 706310 | Other | MA | TUFTS |
| 3315-01 | Other | MA | PACIFIC CARE BEHAVIORAL H |
| S004292 | Other | MA | CHAMPUS |
| PY3049 | Other | MA | MA LICENSE |
| 61-09490 | Other | MA | UNITED BEHAVIORAL HEALTH |
| 0522686 | Medicaid | MA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PY3049 | MA | MD | Clinical Psychologist |
| 3049 | MA | MD | Chiropractor |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.