Patrice Berman, LICSW
Individual provider Active NPI Professional Counselor · Boston, MA
NPI 1104905421 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1104905421
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1027205 (MA)
- Practice address
- 7 Haviland St
Boston, MA 02115-2683 - Phone
- (617) 267-0900
- Fax
- (617) 267-3667
- NPI assigned
- Nov 6, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1027205 | MA | Yes |
Addresses
Primary practice location
7 Haviland St
Boston, MA 02115-2683
Mailing address
7 Haviland St
Boston, MA 02115-2683
Phone (617) 267-0900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1303546 | Medicaid | MA |
Other providers in Boston, MA
- Ariel K Berman
- Jacob Elliott Berman
- Jeffrey S Berman
- Matthew Benjamin Berman
- Noah Chase Berman
- Rose Berman
- Stephanie Blair Berman
- Stuart M Berman
- Tara Ariela Berman
- Max Meir Bermann
All providers in Boston, MA · Professional Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.