Rayner Alfonso Berrios, PMHNP, LCSW-R

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

40237501 Issued in NY

Practice address

39 W 14TH St Ste 506
New York, NY 10011-7403

Phone

(929) 777-0173

NPI assigned

Apr 16, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Neighborhood Psychiatric Associates of Manhattan PLLC

  • Psychiatry Physician
  • New York, NY
  • NPI 1831576735

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1104041987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 5TH AVE # 620",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165010",
            "telephone_number": "929-203-4680",
            "fax_number": "828-994-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 W 14TH ST STE 506",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117403",
            "telephone_number": "929-777-0173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5676 Riverdale Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10471",
            "country_code": "US",
            "telephone_number": "718-796-5300 x163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRIOS",
        "first_name": "RAYNER",
        "middle_name": "ALFONSO",
        "name_prefix": "Mr.",
        "credential": "PMHNP, LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "40237501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nataly Berrio Pulgarin
• Gabriella Sophia Berrio, DDS
• Bria Berrios
• Jasmin Berrios, LCSW
• Lorell E Berrios, LCSW
• Dianaira Berroa Eusebio
• Stacey Berroa, FNP-BC
• Vianca Berroa
• Alaina Berruti-Menestrier, MD
• Imelda Berry-Candelario

• All providers in New York, NY
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.