Elizabeth Koropsak-Berman, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

020039 Issued in NY

Practice address

45 Holmes DL
Albany, NY 12203-2022

Phone

(518) 487-4208

NPI assigned

Apr 9, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Pinnacle Behavioral Health

  • Clinical Social Worker
  • Albany, NY
  • NPI 1346467529
  NPD (past)
• Pinnacle Behavioral Health Ipa PLLC

  • Mental Health Counselor
  • Albany, NY
  • NPI 1447276720
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1013030741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HOLMES DL",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122032022",
            "telephone_number": "518-487-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HOLMES DL",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122032022",
            "telephone_number": "518-487-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROPSAK-BERMAN",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D Kopp, MD
• Paige Kopp
• Jenna Korim, LCSW
• Rebecca Korn, DO
• Denise Kornak
• Oksana Korostil, AGPCNP-BC
• Tanner Case Korponay, MD
• Timothy P Korytko, MD
• Adriana Kosakowski, MSW
• Michele Kosek

• Psychologist in Albany, NY
• Providers in Albany, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.