Active NPI
Andrew S Berry Psychologist PC
- Adult Mental Health Clinic/Center
- Niskayuna, NY
National Provider Identifier
1285318378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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., ABPP
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231106000850 | NY | Part B Supplier - Clinic/Group Practice | 2860849379 |
Receives reassigned benefits from 1 practitioner Practice locations: Niskayuna, NY |
National Provider Directory
National Provider DirectoryLocations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.