Andrew Berry, PH.D., PSY.D., ABPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

017785 Issued in NY

Practice address

632 Plank Road
Suite 209
Clifton Park, NY 12065-4882

Phone

(518) 587-4161

NPI assigned

Nov 6, 2006

Last updated

Oct 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andrew S Berry Psychologist PC

  • Adult Mental Health Clinic/Center
  • Niskayuna, NY
  • NPI 1285318378
  Medicare reassignment NPD Authorized official
• New York Association for New Americans, Inc

  dba Fifth Avenue Center for Counseling and Psychotherapy

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1689656027
  NPD (past)
• Stanley R Graham PH D PC

  • Clinical Psychologist
  • New York, NY
  • NPI 1760653760
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1023187192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 PLANK RD",
            "address_2": "SUITE 209",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120654882",
            "telephone_number": "518-587-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 PLANK ROAD",
            "address_2": "SUITE 209",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120654882",
            "telephone_number": "518-587-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PH.D., PSY.D., ABPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017785",
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard C Berkowitz, DPM
• Lisa T. Berls, DDS
• Jordan Bernard
• Regina Berninger
• Rosanna M. Bernos, R.PH.
• Sarah Beth, SLP
• Bewell Mental Health Counseling, PLLC
• Lauren Evangeline Bickford-Bushey, LMSW
• Melissa Bieniek, MS
• James Robert Bilby, LCSW, MSW

• Clinical Psychologist in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.