Berlow Clinical

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

G076945 Issued in CA

Legal business name

BERLOW CLINICAL

Practice address

1104 Camino del Mar
Suite 10
Del Mar, CA 92014-2656

Phone

(619) 894-4489

NPI assigned

Aug 1, 2016

Last updated

Aug 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rustin Berlow, MDNPI 1164549077

Title

Ceo

Phone

(619) 894-4489

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rustin Berlow, MD

  • Psychiatry Physician
  • Del Mar, CA
  • NPI 1164549077
  Authorized official Same address or phone

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1093268658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 CAMINO DEL MAR",
            "address_2": "SUITE 10",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142656",
            "telephone_number": "619-894-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 CAMINO DEL MAR",
            "address_2": "SUITE 10",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142656",
            "telephone_number": "619-894-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERLOW CLINICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "BERLOW",
        "authorized_official_first_name": "RUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-894-4489",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "G076945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron John Barry, D.M.D.
• Valerie Ning Beckwith, L.AC.
• Nolan Bellisario, DMD
• Ami Ben-Artzi, M.D.
• David Benjamin Bergman, M.D.
• Rustin Berlow, MD
• Anthony Vincent Bernardini Jr.
• Steven Fox Bierman, M.D.
• Joy Bischke, BS
• Laura Leslie Black, ND

• Adult Mental Health Clinic/Center in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.