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

Dr. Jonathan David Birnberg, PHD

Individual provider Psychologist · NPI 1174674279

Dr. Jonathan David Birnberg, PHD is a Clinical Psychologist in South Portland, Maine. Qualified in 2000, 26 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Massachusetts and Maine.

Years since qualifying
26
Licensed in
MA, ME
In the registry since
2007
Specialties on file
2
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

609 Main St Ste 3
South Portland, ME 04106-5453
Phone: (207) 775-2220
Fax: (207) 775-2226
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PS1192 (ME)
Psychologist Taxonomy 103T00000X · Licence 8077 (MA)

Record details

NPI number1174674279
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 15, 2007
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020
Mailing address332 Pool St, Biddeford, ME 04005-9713

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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