Michael Beris

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL013255 Issued in PA

Practice address

1104 Welsh Rd
Philadelphia, PA 19115-3730

Phone

(215) 676-9191

NPI assigned

Jan 12, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1376932582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S 41ST ST APT 4B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044572",
            "telephone_number": "610-389-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 WELSH RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153730",
            "telephone_number": "215-676-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERIS",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-12",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL013255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Elizabeth Bergman, SLP
• Heather Bergmann, CRNP
• Christina A Bergqvist, M.D.
• Alexander Joseph Bergsman
• Adrianna Michelle Bergstein, MD
• Jason David Berk, M.D.
• Matthew Aaron Berk, M.D.
• Abiona Virginia Berkeley, MD
• Jonathan Andrew Berken, MD, PHD
• Barbara A. Berko, M.D.

• Speech-Language Pathologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.