Active NPI
Ralph H. Berman, M D
- Psychiatry Physician
- Santa Cruz, CA
National Provider Identifier
1306889795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A22430
- Practice address
- 412 Cedar St
Suite a
Santa Cruz, CA 95060-4369 - Phone
- (831) 234-6591
- Fax
- (831) 454-3525
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A22430 | CA | Primary |
| Professional Counselor | 101YP2500X | A22430 | CA |
Addresses
Primary practice location
412 Cedar St
Suite a
Santa Cruz, CA 95060-4369
Mailing address
2687 Christine Oaks
Santa Cruz, CA 95062-4300
Phone (831) 234-6591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A22430 | Other | CA | MEDICAL LICENSE# |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1306889795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2687 CHRISTINE OAKS",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950624300",
"telephone_number": "831-234-6591",
"fax_number": "831-464-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 CEDAR ST",
"address_2": "SUITE A",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950604369",
"telephone_number": "831-234-6591",
"fax_number": "831-454-3525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "RALPH",
"middle_name": "H.",
"credential": "M D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A22430",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "A22430",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE#",
"identifier": "A22430",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.