Active NPI
Sasha R Berger, PH.D.
- Psychologist
- New York, NY
National Provider Identifier
1093063711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 019688-1
- Practice address
- 51 W. 86TH Street
Suite 104D
New York, NY 10024 - Phone
- (646) 580-1052
- NPI assigned
- Aug 28, 2012
- 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 | 019688-1 | NY | Primary |
Addresses
Primary practice location
51 W. 86TH Street
Suite 104D
New York, NY 10024
Mailing address
481 Fort Washington Ave
39A
New York, NY 10033
Phone (732) 208-0120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019688-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1093063711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 FORT WASHINGTON AVE",
"address_2": "39A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10033",
"telephone_number": "732-208-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 W. 86TH STREET",
"address_2": "SUITE 104D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10024",
"telephone_number": "646-580-1052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "SASHA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "019688-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.