Individual provider Active NPI

Ralph H. Berman, M D

  • Psychiatry Physician
  • Santa Cruz, CA
National Provider Identifier
1306889795
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A22430 Issued in CA
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

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A22430OtherCAMEDICAL 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.

Verify at the official NPI Registry.