Individual provider Active NPI

Howard R Berens, M.D.

  • Psychiatry Physician
  • Newton Center, MA
National Provider Identifier
1275658197
Registry record updated Aug 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
29987 Issued in MA
Practice address
53 Langley Rd
Suite 310
Newton Center, MA 02459-1913
Phone
(617) 645-6885
Fax
(617) 487-5706
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 29987 MA Primary

Addresses

Primary practice location

53 Langley Rd
Suite 310
Newton Center, MA 02459-1913

Mailing address

22 Vincent Avenue
Stamford, CT 06905-4022
Phone (617) 645-6885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050917000329 MA Practitioner - Psychiatry 8820021025 Practice locations: Newton Center, MA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albert Einstein College of Medicine of Yeshiva University, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

53 Langley Rd
Suite 310
Newton Center, MA 02459-1945
Phone (617) 645-6885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501891200000",
    "number": "1275658197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 VINCENT AVENUE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069054022",
            "telephone_number": "617-645-6885",
            "fax_number": "617-487-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 LANGLEY RD",
            "address_2": "SUITE 310",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024591913",
            "telephone_number": "617-645-6885",
            "fax_number": "617-487-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENS",
        "first_name": "HOWARD",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2017-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "29987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Center, MA

Sources for this page

Verify at the official NPI Registry.