Individual provider Active NPI

Zhanna Berman, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pearl River, NY
National Provider Identifier
1184071318
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F404121 Issued in NY
Practice address
1 Blue Hill PLZ Lbby Level
Pearl River, NY 10965-3111
Phone
(845) 459-3165
NPI assigned
May 18, 2016
Last updated
May 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00639600 NJ
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X F404121-01 NY
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist 364SP0813X 26NJ00639600 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F404121 NY Primary

Addresses

Primary practice location

1 Blue Hill PLZ Lbby Level
Pearl River, NY 10965-3111

Mailing address

17-10 River Rd Ste 2C
Fair Lawn, NJ 07410-1250
Phone (973) 814-4115

Other practice location 1

15 Monmouth Rd
Glen Rock, NJ 07452-3412
Phone (551) 444-2282

Other practice location 2

17-10 River Rd Ste 2C
Fair Lawn, NJ 07410-1250
Phone (551) 804-0885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170811000157 NJ Practitioner - Nurse Practitioner 2264727825 Reassigns benefits to 4 organizations
I20230208000730 NY Practitioner - Nurse Practitioner 2264727825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

165 N Village Ave
Rockville Centre, NY 11570-3701
Phone (516) 350-8564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F404121NYMDPsychiatric/Mental Health Nurse Practitioner
F404121-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC Single Specialty CurrentSince Nov 28, 2018 Accepting new patients
Hamilton Behavioral MD PA Single Specialty CurrentSince Aug 17, 2019 Accepting new patients
Psychiatric Family Care LLC Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Rudoy Medical PC Single Specialty Past Accepting new patients
East Point Medical PC Single Specialty PastSince Nov 19, 2022 Accepting new patients
Center of Revitalizing Psychiatry PC PastSince Jun 22, 2022 Accepting new patients
Centra Medical Group, LLC Single Specialty PastSince Aug 17, 2019 Accepting new patients

Locations

17-10 River Rd
Ste 2C
Fair Lawn, NJ 07410
Phone (551) 804-0885

300 Forest Ave
#A
Paramus, NJ 07652
Phone (201) 490-5158

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1184071318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17-10 RIVER RD STE 2C",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101250",
            "telephone_number": "973-814-4115",
            "fax_number": "201-444-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BLUE HILL PLZ LBBY LEVEL",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109653111",
            "telephone_number": "845-459-3165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Monmouth Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Rock",
            "state": "NJ",
            "postal_code": "074523412",
            "country_code": "US",
            "telephone_number": "551-444-2282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17-10 River Rd Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Fair Lawn",
            "state": "NJ",
            "postal_code": "074101250",
            "country_code": "US",
            "telephone_number": "551-804-0885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "ZHANNA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00639600",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404121-01",
            "primary": false
        },
        {
            "code": "364SP0813X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": "NJ",
            "license": "26NJ00639600",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl River, NY

Sources for this page

Verify at the official NPI Registry.