Active NPI
Arnis Lee Berger, M.ED
- Psychologist
- Lexington, MA
National Provider Identifier
1023140589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1598
- Practice address
- 19 Muzzey St
Suite 306
Lexington, MA 02421-5256 - Phone
- (781) 861-8130
- NPI assigned
- Mar 11, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1598 | MA | Primary |
Addresses
Primary practice location
19 Muzzey St
Suite 306
Lexington, MA 02421-5256
Mailing address
19 Muzzey St
Lexington, MA 02421-5256
Phone (781) 861-8130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000WO2118 | Other | MA | BCBSMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 13, 2022 through Jun 13, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1598 | MA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023140589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 MUZZEY ST",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024215256",
"telephone_number": "781-861-8130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 MUZZEY ST",
"address_2": "SUITE 306",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024215256",
"telephone_number": "781-861-8130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "ARNIS",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "M.ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "1598",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "0000WO2118",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.