Individual provider Active NPI

Gerald H Berger, PH.D.

  • Psychologist
  • Albany, NY
National Provider Identifier
1477503266
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
004926 Issued in NY
Practice address
1 Marcus Blvd Ste 105
Albany, NY 12205-5953
Phone
(518) 587-0499
Fax
(518) 786-6467
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 004926 NY Primary

Addresses

Primary practice location

1 Marcus Blvd Ste 105
Albany, NY 12205-5953

Mailing address

1 Marcus Blvd Ste 105
Albany, NY 12205-5953
Phone (518) 587-0499

Other practice location 1

63 Franklin St Ste 1
Saratoga Springs, NY 12866-3065
Phone (518) 587-0499 ext. 16

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091029000239 NY Practitioner - Clinical Psychologist 7810034501 Practice locations: Saratoga Springs, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Marcus Blvd
Suite 105
Albany, NY 12205-5953

63 Franklin St
Suite 1
Saratoga Springs, NY 12866-3065
Phone (518) 587-0499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
004926NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Christine a Marra Psychologist PLLC PastSince Nov 9, 2012 Accepting new patients

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1477503266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARCUS BLVD STE 105",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055953",
            "telephone_number": "518-587-0499",
            "fax_number": "518-786-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MARCUS BLVD STE 105",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055953",
            "telephone_number": "518-587-0499",
            "fax_number": "518-786-6467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 Franklin St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128663065",
            "country_code": "US",
            "telephone_number": "518-587-0499 x16",
            "fax_number": "518-587-0536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGER",
        "first_name": "GERALD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "004926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.