Organization Active NPI

Andrew S Berry Psychologist PC

  • Adult Mental Health Clinic/Center
  • Niskayuna, NY
National Provider Identifier
1285318378
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ANDREW S BERRY PSYCHOLOGIST PC
Practice address
3010 Troy Schenectady Rd # 3
Niskayuna, NY 12309-1614
Phone
(518) 357-8213
NPI assigned
Jun 9, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Andrew S Berry, PH.D, PSY.D., ABPPNPI 1023187192
Title
Owner
Phone
(518) 357-8213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231106000850 NY Part B Supplier - Clinic/Group Practice 2860849379 Receives reassigned benefits from 1 practitioner
Practice locations: Niskayuna, NY

National Provider Directory

National Provider Directory

Locations

3010 Troy Schenectady Rd
Ste 3
Niskayuna, NY 12309

3010 Troy Schenectady Rd
#3
Schenectady, NY 12309
Phone (518) 357-8213

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

NPPES NPI Registry

Primary practice location

3010 Troy Schenectady Rd # 3
Niskayuna, NY 12309-1614

Mailing address

3010 Troy Schenectady Rd # 3
Niskayuna, NY 12309-1614
Phone (518) 357-8213

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2023.

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1285318378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 TROY SCHENECTADY RD # 3",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123091614",
            "telephone_number": "518-357-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 TROY SCHENECTADY RD # 3",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123091614",
            "telephone_number": "518-357-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW S BERRY PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-357-8213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, PSY.D., ABPP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niskayuna, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.