Mark G. Berger, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810000978 Issued in VA

Legal business name

MARK G. BERGER, PH.D.

Practice address

2101 Executive Dr
Tower Box 44
Hampton, VA 23666-2404

Phone

(757) 827-9650

Fax

(757) 827-9651

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Hearn

Title

Office Manager

Phone

(757) 827-9650

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326185745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 EXECUTIVE DR",
            "address_2": "TOWER BOX 44",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662404",
            "telephone_number": "757-827-9650",
            "fax_number": "757-827-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 EXECUTIVE DR",
            "address_2": "TOWER BOX 44",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662404",
            "telephone_number": "757-827-9650",
            "fax_number": "757-827-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK G. BERGER, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEARN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-827-9650",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Hampton, VA
• Providers in Hampton, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.