Individual provider Active NPI

David Wayne Berrier, M.D.

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1508984907
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036087003 Issued in IL
Practice address
5737 S University Ave
Student Counseling and Resource Center
Chicago, IL 60637-1507
Phone
(773) 702-9800
Fax
(773) 702-2011
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036087003 IL Primary

Addresses

Primary practice location

5737 S University Ave
Student Counseling and Resource Center
Chicago, IL 60637-1507

Mailing address

5737 S University Ave
Student Counseling and Resource Center
Chicago, IL 60637-1507
Phone (773) 702-9800

Other identifiers 1

IdentifierTypeStateIssuer
036087003MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036087003ILMDPsychiatry Physician

Interoperability endpoints

  • Direct secure messaging: dberriermd23647@uchospital.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1508984907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5737 S UNIVERSITY AVE",
            "address_2": "STUDENT COUNSELING AND RESOURCE CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371507",
            "telephone_number": "773-702-9800",
            "fax_number": "773-702-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5737 S UNIVERSITY AVE",
            "address_2": "STUDENT COUNSELING AND RESOURCE CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371507",
            "telephone_number": "773-702-9800",
            "fax_number": "773-702-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIER",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036087003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087003",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.