Organization Active NPI

Paul C. Berman & Katherine W. Killeen, PA

  • Clinical Psychologist
  • Towson, MD
National Provider Identifier
1528124617
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2032 Issued in MD
Legal business name
PAUL C. BERMAN & KATHERINE W. KILLEEN, PA
Practice address
102 W Pennsylvania Ave
Suite 306
Towson, MD 21204-4526
Phone
(410) 337-8191
Fax
(410) 337-8192
NPI assigned
Dec 31, 2006
Last updated
Nov 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Authorized official

Name
Dr. Paul C Berman, PH.D.NPI 1447316526
Title
President
Phone
(410) 337-8191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2032 MD Primary

Addresses

Primary practice location

102 W Pennsylvania Ave
Suite 306
Towson, MD 21204-4526

Mailing address

102 W Pennsylvania Ave
Suite 306
Towson, MD 21204-4526
Phone (410) 337-8191

National Provider Directory

National Provider Directory
Tax ID family
Paul C Berman Katherine W Killeen PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1528124617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W PENNSYLVANIA AVE",
            "address_2": "SUITE 306",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044526",
            "telephone_number": "410-337-8191",
            "fax_number": "410-337-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W PENNSYLVANIA AVE",
            "address_2": "SUITE 306",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044526",
            "telephone_number": "410-337-8191",
            "fax_number": "410-337-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL C. BERMAN & KATHERINE W. KILLEEN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-31",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-337-8191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "2032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.