Nicole Berman, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

016931 Issued in NY

Practice address

80 Glen Head Rd
Suite 200
Glen Head, NY 11545-1933

Phone

(516) 586-5860

Fax

(516) 586-5861

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2015.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437868800000",
    "number": "1235201906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 GLEN COVE AVE",
            "address_2": "SUITE 2 LOWER LEVEL",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451589",
            "telephone_number": "516-586-5860",
            "fax_number": "516-586-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GLEN HEAD RD",
            "address_2": "SUITE 200",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451933",
            "telephone_number": "516-586-5860",
            "fax_number": "516-586-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Anne Barker, M.S., CCC-SLP
• Barrtmenschddspc
• Christine Baudin, M.S. CCC-SLP
• Allison Berest, MA
• Marc Aaron Berlin, M.A.
• Nicholas Bhasin, PHARMD
• Peggy Bice, LCSW
• Sheila M. Bilko, M.S.,C.C.C.,L.S.P.
• Patricia Mary Billard
• Cheryl Ann Bobe, LCSW, CPP

• All providers in Glen Head, NY
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.