Individual provider Active NPI

Karen S Berkowitz, PH.D.

  • Clinical Psychologist
  • San Antonio, TX
National Provider Identifier
1306996046
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
22194 Issued in TX
Practice address
8600 Wurzbach Rd
Suite 1204
San Antonio, TX 78240-4330
Phone
(210) 614-9337
Fax
(210) 614-9339
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 22194 TX Primary
Psychologist 103T00000X 22194 TX

Addresses

Primary practice location

8600 Wurzbach Rd
Suite 1204
San Antonio, TX 78240-4330

Mailing address

8600 Wurzbach Rd
Suite 1204
San Antonio, TX 78240-4330
Phone (210) 614-9337

Other identifiers 1

IdentifierTypeStateIssuer
0357154-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090814000259 TX Practitioner - Clinical Psychologist 7810064748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6228 Prince Charles
San Antonio, TX 78240-4989

7423 Horse Tail Dr
San Antonio, TX 78240-3240
Phone (210) 614-9337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
22194TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Karen S Berkowitz PHD PC Clinical CurrentSince Jul 3, 2008 Accepting new patients

Locations

8600 Wurzbach Rd
Ste 1204
San Antonio, TX 78240
Phone (210) 614-3369

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1306996046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 WURZBACH RD",
            "address_2": "SUITE 1204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404330",
            "telephone_number": "210-614-9337",
            "fax_number": "210-614-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 WURZBACH RD",
            "address_2": "SUITE 1204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782404330",
            "telephone_number": "210-614-9337",
            "fax_number": "210-614-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKOWITZ",
        "first_name": "KAREN",
        "middle_name": "S",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22194",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "22194",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0357154-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.