Active NPI
Lloyd Stuart Berg, PHD
- Psychologist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 25608
- Practice address
- 3501 Mills Ave
Austin, TX 78731-6309 - Phone
- (512) 324-2000
- NPI assigned
- Jul 12, 2006
- Last updated
- Dec 14, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 25608 | TX | Primary |
Addresses
Primary practice location
3501 Mills Ave
Austin, TX 78731-6309
Mailing address
1601 Rio Grande St Ste 340
Austin, TX 78701-1162
Phone (512) 795-5500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079974401 | Medicaid | TX | |
| 096603804 | Medicaid | TX | |
| 88061A | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3501 Mills Ave Seton Shoal Creek
Austin, TX 78731-6309
Phone (512) 324-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.35 of 100
- Quality
- 76.32
- Improvement activities
- 40
- Cost
- 74.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25608 | TX | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas at Austin Dell Medical School | Current | Accepting new patients | |
| University of Texas at Austin Dell Medical School | Current | Accepting new patients |
Locations
1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737
Interoperability endpoints
- lloyd.berg.1@16041.direct.athenahealth.com
- lloyd.berg.1@8363.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Luling, TX
- NPI 1336456227
-
dba UT Health Austin
- General Practice Physician
- Austin, TX
- NPI 1073066239
-
dba UT Health Austin Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1780218305
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension Seton Medical Center Austin
- General Acute Care Hospital
- Austin, TX
- NPI 1164526786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355443200000",
"number": "1548295785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 RIO GRANDE ST STE 340",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787011162",
"telephone_number": "512-795-5500",
"fax_number": "512-795-3502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 MILLS AVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316309",
"telephone_number": "512-324-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "LLOYD",
"middle_name": "STUART",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2012-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "25608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079974401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096603804",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "88061A",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.