Active NPI
Debra Carol Berg
- Audiologist
- Norwalk, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 000270
- Practice address
- 148 East Ave
Norwalk, CT 06851-5721 - Phone
- (203) 866-8121
- NPI assigned
- Feb 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 000270 | CT | Primary |
Addresses
Primary practice location
148 East Ave
Norwalk, CT 06851-5721
Mailing address
148 East Ave
Norwalk, CT 06851-5721
Phone (203) 866-8121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141218000104 | CT | Practitioner - Qualified Audiologist | 1951472174 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mobile Audiology Associates PC
Practice addresses (Care Compare)
101 Centerpoint Dr
Suite 215
Middletown, CT 06457-7568
Phone (888) 964-6681
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001145 | NY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Audiology Associates, P.C. | Audiologist | Current | Accepting new patients |
| Mobile Audiology Associates, P.C. | Audiologist | Current | Accepting new patients |
| Andrew J. Parker, M.D., LLC | Audiologist | Current | Accepting new patients |
| Bridgeport Hospital | Past | Accepting new patients | |
| Ahlbin Centers for Rehabilitation Medicine | Audiologist | Past | Accepting new patients |
Locations
101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550
148 East Ave
Ste 2I
Norwalk, CT 06851
Phone (203) 506-1992
148 East Ave
Norwalk, CT 06851
Phone (203) 838-4886
100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486
Organizations & group practices 10
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.
-
- Audiologist
- Middletown, CT
- NPI 1669403002
-
- Audiologist
- Framingham, MA
- NPI 1689601130
-
- Audiologist
- Framingham, MA
- NPI 1073554457
-
- Audiologist-Hearing Aid Fitter
- Framingham, MA
- NPI 1689863102
-
- Audiologist
- Brookfield, WI
- NPI 1811928062
-
- Audiologist
- Indianapolis, IN
- NPI 1316471659
-
- Audiologist
- Columbia, MD
- NPI 1811312515
-
- Audiologist
- Bridgeport, CT
- NPI 1356494785
-
- General Acute Care Hospital
- Milford, CT
- NPI 1891376810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1487832077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 EAST AVE",
"city": "NORWALK",
"state": "CT",
"postal_code": "068515721",
"telephone_number": "203-866-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 EAST AVE",
"city": "NORWALK",
"state": "CT",
"postal_code": "068515721",
"telephone_number": "203-866-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "DEBRA",
"middle_name": "CAROL",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-05",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CT",
"license": "000270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.