Dan Berger, ED.D., ABPP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4343 Issued in NY

Practice address

38 Woodbine Ave
Stony Brook, NY 11790-1544

Phone

(631) 751-4340

Fax

(631) 689-0451

NPI assigned

Mar 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Psychologist

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447374525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 WOODBINE AVE",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901544",
            "telephone_number": "631-751-4340",
            "fax_number": "631-689-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 WOODBINE AVE",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901544",
            "telephone_number": "631-751-4340",
            "fax_number": "631-689-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "ED.D., ABPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "4343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00393646",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helene Benveniste, M.D.
• Shashi Berdia, MD
• Sergey Berenshteyn, DDS
• William Travis Berg, MD
• Roberto C.M. Bergamaschi, MD
• Susan J. Berger, LCSW
• Rachel Bergeson, MD
• Suzanne Michele Bergmann, LCSW
• Jason S. Berk, D.D.S.
• Scott Berman, MD

• Psychologist in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.