Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Jewell K Waldbaum, PH.D.

Clinical Psychologist in Spring Valley, NY · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124024005

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Registry record

Entity type Individual (Type 1)

Name Dr. Jewell K Waldbaum

Credential PH.D.

Sex Female

Practice address Spring Valley, NY, 10977

Phone (845) 356-6329

Fax (845) 425-0144

Enumeration date Jun 24, 2005

Last updated in NPPES Dec 9, 2010

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 3934 (NY) Primary

103T00000X Psychologist Behavioral Health & Social Service Providers · License 3934 (NY) Secondary

103TH0100X Health Service Psychologist Behavioral Health & Social Service Providers · License 3934 (NY) Secondary

PHD · Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential

Other identifiers

Identifier	Type	State	Issuer
0081767	Other	-	GHI IDENTIFICATION NUMBER
3934	Other	NY	NEW YORK STATE LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Jewell Waldbaum?

Jewell Waldbaum is registered in NPPES with the primary taxonomy of Clinical Psychologist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-12-09.