Active NPI
Alycia K Berg, MA, CCC-SLP
- Speech-Language Pathologist
- St Thomas, VI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6906
- Practice address
- 6115 Estate Smith Bay Ste 334
St Thomas, VI 00802-1324 - Phone
- (340) 714-2348
- Fax
- (781) 647-8914
- NPI assigned
- Sep 16, 2006
- Last updated
- Jul 24, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6906 | MA | Primary |
Addresses
Primary practice location
6115 Estate Smith Bay Ste 334
St Thomas, VI 00802-1324
Mailing address
6115 Estate Smith Bay Ste 334
St Thomas, VI 00802-1324
Phone (340) 714-2348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6115 Estate Smith Bay
Suite 334 335
St Thomas, VI 00802-1324
Phone (340) 714-2348
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Fitness and Wellness Center LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
6115 Estate Smith Bay
Ste 334
St Thomas, VI 00802
Phone (340) 626-8106
6115 Estate Smith Bay
Ste 334335
St Thomas, VI 00802
Phone (340) 513-9166
Organizations & group practices 1
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.
-
- Physical Therapist
- St Thomas, VI
- NPI 1013346832
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595548800000",
"number": "1073619003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6115 ESTATE SMITH BAY STE 334",
"city": "ST THOMAS",
"state": "VI",
"postal_code": "008021324",
"telephone_number": "340-714-2348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6115 ESTATE SMITH BAY STE 334",
"city": "ST THOMAS",
"state": "VI",
"postal_code": "008021324",
"telephone_number": "340-714-2348",
"fax_number": "781-647-8914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "ALYCIA",
"middle_name": "K",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "6906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Thomas, VI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.