Active NPI
Michele D Berdy, PHD
- Psychologist
- Carmel, NY
National Provider Identifier
1194434092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 006202
- Practice address
- 1408 Peekskill Hollow
Carmel, NY 10512 - Phone
- (845) 494-1169
- NPI assigned
- Nov 18, 2022
- Last updated
- Feb 12, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 006202 | NY | Primary |
Addresses
Primary practice location
1408 Peekskill Hollow
Carmel, NY 10512
Mailing address
1408 Peekskill Hollow Rd,
Carmel, NY 10512
Phone (845) 494-1169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 20, 2025 through Mar 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006202 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1194434092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 PEEKSKILL HOLLOW RD,",
"city": "CARMEL",
"state": "NY",
"postal_code": "10512",
"telephone_number": "845-494-1169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 PEEKSKILL HOLLOW",
"city": "CARMEL",
"state": "NY",
"postal_code": "10512",
"telephone_number": "845-494-1169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERDY",
"first_name": "MICHELE",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-18",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "006202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.