Individual provider Active NPI

Brent Berman, LCSW

  • Mental Health Counselor
  • Jupiter, FL
National Provider Identifier
1467790865
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11714 Issued in FL
Practice address
900 S US Highway 1 Ste 101
Jupiter, FL 33477-6468
Phone
(561) 260-3617
NPI assigned
Jan 21, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11714 FL Primary

Addresses

Primary practice location

900 S US Highway 1 Ste 101
Jupiter, FL 33477-6468

Mailing address

403 SE 1St St
Delray Beach, FL 33483-4540
Phone (561) 332-1176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190802002186 FL Practitioner - Clinical Social Worker 4587991294 Reassigns benefits to 1 organization
Practice locations: Boca Raton, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southcoast Psychiatric Services IncGroup PAC ID 2860879293, 20 clinicians

Practice addresses (Care Compare)

2900 N University Dr
Suite 15
Coral Springs, FL 33065-5083
Phone (561) 241-6628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11714FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Psychiatric Services Inc CurrentSince Jul 1, 2023 Accepting new patients

Locations

5301 N Federal Hwy
Ste 270
Boca Raton, FL 33487
Phone (561) 241-6628

1200 N Federal Hwy
Ste 300
Boca Raton, FL 33432
Phone (561) 241-6628

2900 N University Dr
Ste 15
Coral Springs, FL 33065
Phone (561) 241-6628

Interoperability endpoints

  • Direct secure messaging: bocaratonpsychiatry.brentberman@148004.advancedmd-direct.com

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": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1467790865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SE 1ST ST",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334834540",
            "telephone_number": "561-332-1176",
            "fax_number": "561-404-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S US HIGHWAY 1 STE 101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334776468",
            "telephone_number": "561-260-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "BRENT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-21",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "11714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.