Active NPI
Allison H Berger, PH.D.
- Clinical Psychologist
- Cambridge, MA
National Provider Identifier
1174604904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7580
- Practice address
- 1696 Massachusetts Ave
2ND Floor
Cambridge, MA 02138-1803 - Phone
- (617) 851-4185
- NPI assigned
- Oct 18, 2006
- Last updated
- Aug 8, 2011
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7580 | MA | Primary |
Addresses
Primary practice location
1696 Massachusetts Ave
2ND Floor
Cambridge, MA 02138-1803
Mailing address
1696 Massachusetts Ave
2ND Floor
Cambridge, MA 02138-1803
Phone (617) 851-4185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W05933 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Oct 8, 2024 through Oct 8, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7580 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1174604904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1696 MASSACHUSETTS AVE",
"address_2": "2ND FLOOR",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381803",
"telephone_number": "617-851-4185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1696 MASSACHUSETTS AVE",
"address_2": "2ND FLOOR",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381803",
"telephone_number": "617-851-4185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "ALLISON",
"middle_name": "H",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "W05933",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.