Elaine Sandra Berman, EDD PSYCHOLOGIST

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6951 Issued in FL

Practice address

1712 Lago Vista Blvd
Palm Harbor, FL 34685-3348

Phone

(727) 784-8392

Fax

(727) 784-8392

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1497815864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 LAGO VISTA BLVD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853348",
            "telephone_number": "727-784-8392",
            "fax_number": "727-784-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 LAGO VISTA BLVD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853348",
            "telephone_number": "727-784-8392",
            "fax_number": "727-784-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "ELAINE",
        "middle_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "EDD PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "3990",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "31124508300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Berg
• Bruce Thomas Bergen, PTA
• Ira F Berger, D.D.S.
• Bethany Lynn Berghoffer, PA C
• Donald Jay Berglund, DDS
• Kathryn Carson Bernhardt, PA-C
• Jose Alberto Berrios, M.D.
• Best at Home Care LLC
• Better Life Clinics LLC
• Beyond 2020 Vision Specialists East Lake

• Clinical Psychologist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.