JUDITH S. NISSENBAUM PH.D
NPI 1023025657
Psychologist - Clinical in Chicopee, MA

NPI Status: Active since August 03, 2006

Contact Information

1109 GRANBY RD
CHICOPEE, MA
ZIP 01020
Phone: (413) 523-0900
Fax: (413) 523-0901

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  • Individual
  • Female
  • Psychologist
  • Clinical

About JUDITH NISSENBAUM

This page provides the complete NPI Profile along with additional information for Judith Nissenbaum, a provider established in Chicopee, Massachusetts with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1023025657 assigned on August 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 3991 (MA). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1023025657
Provider Name
JUDITH S. NISSENBAUM PH.D
Gender
Female
Entity Type
Individual
Location Address
1109 GRANBY RD CHICOPEE, MA 01020
Location Phone
(413) 523-0900
Location Fax
(413) 523-0901
Mailing Address
1109 GRANBY RD CHICOPEE, MA 01020
Mailing Phone
(413) 523-0900
Mailing Fax
(413) 523-0901
Is Sole Proprietor?
No
Enumeration Date
08-03-2006
Last Update Date
02-23-2012
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A clinical psychologist like Judith Nissenbaum assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
3991
License State
MA
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
S62932MEDICARE UPIN (02)MA 
W50313MEDICARE PIN (08)MA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023025657
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20430210610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 0 + 2 + 1 + 0 + 6 + 1 + 0 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1023025657 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568417384 LISA A. UYEHARA M.D.
Individual
Psychiatry & Neurology (Psychiatry)1109 GRANBY RD
CHICOPEE, MA 01020
(413) 523-0900
1073520672 LEAONARD MELNICK LICSW
Individual
Social Worker1109 GRANBY RD
CHICOPEE, MA 01020
(413) 523-0900
1154384113 ROBERT L. LOUNSBURY M.D.
Individual
Internal Medicine1109 GRANBY RD
CHICOPEE, MA 01020
(413) 523-0810
1871528034 PETER DARROW BISHOP PHD
Individual
Psychologist (Clinical)1109 GRANBY RD
CHICOPEE, MA 01020
(413) 523-0900
1841609427MS. STACEY ANN TEMPLE C.N.M.
Individual
Advanced Practice Midwife1109 GRANBY RD
CHICOPEE, MA 01020
(413) 523-0999
1609821990MWA,PC
Organization
Internal Medicine1109 GRANBY RD
CHICOPEE, MA 01020
(413) 523-0814
1427280791MWA, PC
Organization
Clinic/Center (Sleep Disorder Diagnostic)1109 GRANBY RD
CHICOPEE, MA 01020
(413) 523-0814
1366805814 NATASHA RODRIGUEZ PA-C
Individual
Physician Assistant (Medical)1109 GRANBY RD
CHICOPEE, MA 01020
(413) 523-0999
1801840913 SUSAN R. REUBEN M.D.
Individual
Psychiatry & Neurology (Psychiatry)1109 GRANBY RD
CHICOPEE, MA 01020
(413) 523-0902
1548588056 LINDSEY G MABRY D.O.
Individual
Obstetrics & Gynecology1109 GRANBY RD
CHICOPEE, MA 01020
(413) 523-0824
1609230846RIVERBEND MEDICAL GROUP, INC
Organization
Clinic/Center (Sleep Disorder Diagnostic)1109 GRANBY RD
CHICOPEE, MA 01020
(413) 523-0800
1124728175 MICHAEL A CORRIVEAU LPN
Individual
Licensed Practical Nurse1109 GRANBY RD
CHICOPEE, MA 01020
(413) 213-5668
1285331835 JEREMY JOSEPH SMITH MS GACS
Individual
Social Worker1109 GRANBY RD
CHICOPEE, MA 01020
(844) 243-4357
1376240242 SHARON LOUISE RICHARDS RN
Individual
Registered Nurse (Psychiatric/Mental Health)1109 GRANBY RD
CHICOPEE, MA 01020
(413) 461-6373
1659078475 COLLEEN HSU MA
Individual
Counselor (Mental Health)1109 GRANBY RD
CHICOPEE, MA 01020
(413) 629-9295
1679256887 EDDIE E POMEROY
Individual
Peer Specialist1109 GRANBY RD
CHICOPEE, MA 01020
(413) 867-1030
1194501429 RICARDO LUIS PENA
Individual
Social Worker (Clinical)1109 GRANBY RD
CHICOPEE, MA 01020
(413) 333-6078
1740968403 YAW AMOAKOHENE SARPONG PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)1109 GRANBY RD
CHICOPEE, MA 01020
(833) 243-8255
1053170993 PAIGE LAURA FRISINA
Individual
Counselor (Mental Health)1109 GRANBY RD
CHICOPEE, MA 01020
(833) 243-8255
1144089160 KAITLYN SMALL
Individual
Counselor (Mental Health)1109 GRANBY RD
CHICOPEE, MA 01020
(833) 243-8255

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023025657, enumerated in the NPI registry as an "individual" on August 03, 2006

The provider is located at 1109 Granby Rd Chicopee, Ma 01020 and the phone number is (413) 523-0900

The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.