Edward H. Berger, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00010400 Issued in NJ

Practice address

521 Rutland Ave
Teaneck, NJ 07666-2925

Phone

(201) 837-8573

Fax

(201) 837-8573

NPI assigned

Dec 22, 2005

Last updated

Nov 14, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Senior Care Therapy LLC

  • Clinical Psychologist
  • Passaic, NJ
  • NPI 1285898098
  Medicare reassignment NPD
• Bess Berger Nutrition Consulting, LLC

  • Medical Specialty Clinic/Center
  • Teaneck, NJ
  • NPI 1811185531
  NPD (past)
• Guardian Eldercare PC

  • Community/Behavioral Health Agency
  • Hackensack, NJ
  • NPI 1194888008
  NPD (past)
• Park Avenue Medical Associates, P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • White Plains, NY
  • NPI 1730138645
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1538145446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 RUTLAND AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662925",
            "telephone_number": "201-837-8573",
            "fax_number": "201-837-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 RUTLAND AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662925",
            "telephone_number": "201-837-8573",
            "fax_number": "201-837-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "EDWARD",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00010400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bergen Psychotherapy Practice
• Bergen Renal Care Center, LLC (Fresenius Medical Care Bergen Renal Care Center)
• Bergen Renal Home PD Center, LLC (Bergen Renal Home PD Center)
• Robert L Bergen, MD
• Bess Berger
• Howard Berman, M.D.
• Jeffrey A Berman, M.D.
• Sophia Yanikah Bernard, PMHNP
• Jason Bernath, MS, OTR/L
• Bess Berger Nutrition Consulting, LLC

• Clinical Psychologist in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.