NPIMap

Organization Active NPI

Kenneth R. Berv MD PC

  • Psychiatry Physician
  • Stamford, CT
National Provider Identifier
1063721884
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17059 Issued in CT
Legal business name
KENNETH R. BERV MD PC
Practice address
1006 Westover Rd
Stamford, CT 06902-1040
Phone
(203) 972-1288
NPI assigned
Sep 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Dr. Kenneth R Berv, MD
Title
Owner
Phone
(203) 972-1288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 17059 CT Primary

Addresses

Primary practice location

1006 Westover Rd
Stamford, CT 06902-1040

Mailing address

1006 Westover Rd
Stamford, CT 06902-1040
Phone (203) 972-1288

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1063721884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 WESTOVER RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021040",
            "telephone_number": "203-972-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 WESTOVER RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021040",
            "telephone_number": "203-972-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R. BERV MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "BERV",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-972-1288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "17059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.