Individual provider Active NPI

Judith Mondry - Berk, M D

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1285826123
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G27256 Issued in CA
Practice address
6464 W Sunset Blvd
Suite 1040
Los Angeles, CA 90028-8001
Phone
(323) 836-0900
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2008

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 G27256 CA Primary

Addresses

Primary practice location

6464 W Sunset Blvd
Suite 1040
Los Angeles, CA 90028-8001

Mailing address

6464 W Sunset Blvd
Suite 1040
Los Angeles, CA 90028-8001
Phone (323) 836-0900

Other names 1

  • Judith Berk Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G27256CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Judith Berk MD Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1285826123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 W SUNSET BLVD",
            "address_2": "SUITE 1040",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900288001",
            "telephone_number": "323-836-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 W SUNSET BLVD",
            "address_2": "SUITE 1040",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900288001",
            "telephone_number": "323-836-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDRY - BERK",
        "first_name": "JUDITH",
        "credential": "M D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G27256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "BERK",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.