Phyllis Beren, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PRO14728 Issued in NY

Practice address

11 E 87TH St
New York, NY 10128-0527

Phone

(212) 369-5155

Fax

(212) 595-4478

NPI assigned

Sep 5, 2019

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1407405194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 W END AVE APT 7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246563",
            "telephone_number": "212-369-5155",
            "fax_number": "212-595-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E 87TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280527",
            "telephone_number": "212-369-5155",
            "fax_number": "212-595-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEREN",
        "first_name": "PHYLLIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PRO14728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sky Ashley Berdahl, D.D.S
• Maria Berdella, M.D.
• Hagit Berdishevsky
• Russell Lindsay Berdoff, MD
• Michael Berelowitz, MD
• Rachel Marie Berenbaum, D.C.
• Kimberly Nix Berens, PH.D.
• Laura Ann Berenson, LCSW
• Alejandro Berenstein, MD
• Carrie Berenstein, CRNA

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.