Individual provider Active NPI

Deanna Blaustein Spielberg, ED.D.

  • Clinical Psychologist
  • Wellesley Hills, MA
National Provider Identifier
1639388564
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
540 Issued in MA
Practice address
332 Washington St
Ste. 245
Wellesley Hills, MA 02481-6219
Phone
(781) 237-7774
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 540 MA Primary

Addresses

Primary practice location

332 Washington St
Ste. 245
Wellesley Hills, MA 02481-6219

Mailing address

332 Washington St
Ste. 245
Wellesley Hills, MA 02481-6219
Phone (781) 237-7774

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
540MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Theodore E. Spielberg, MD Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639388564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST",
            "address_2": "STE. 245",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024816219",
            "telephone_number": "781-237-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST",
            "address_2": "STE. 245",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024816219",
            "telephone_number": "781-237-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIELBERG",
        "first_name": "DEANNA",
        "middle_name": "BLAUSTEIN",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley Hills, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.