Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jewell K Waldbaum, PHD

Individual provider Clinical Psychologist · NPI 1124024005

Dr. Jewell K Waldbaum, PHD is a Clinical Psychologist in Spring Valley, New York. Qualified in 1967, 59 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
59
Licensed in
NY
In the registry since
2005
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

12 Hawk St
Spring Valley, NY 10977-6104
Phone: (845) 356-6329
Fax: (845) 425-0144
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3934 (NY)
Psychologist Taxonomy 103T00000X · Licence 3934 (NY)
Health Service Psychologist Taxonomy 103TH0100X · Licence 3934 (NY)

Record details

NPI number1124024005
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 24, 2005
Last updated in NPPESDecember 9, 2010
Mailing address12 Hawk St, Spring Valley, NY 10977-6104

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1967 (59 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Spring Valley