Active NPI
Ashley Leann Berg, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Auburn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 407171
- Practice address
- 17 E Genesee St Ste 1
Auburn, NY 13021-4068 - Phone
- (315) 253-9795
- NPI assigned
- Aug 8, 2020
- Last updated
- Mar 9, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 407171 | NY | Primary |
Addresses
Primary practice location
17 E Genesee St Ste 1
Auburn, NY 13021-4068
Mailing address
315 Madison Ave RM 2000
New York, NY 10017-5416
Phone (646) 661-5225
Other practice location 1
315 Madison Ave Rm 2000
New York, NY 10017-5416
Phone (646) 661-5225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
17 E Genesee St
Auburn, NY 13021-4040
17 E Genesee St
Suite 1
Auburn, NY 13021-4068
315 Madison Ave
RM 2000
New York, NY 10017-5416
Phone (646) 661-5225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 407171 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cayuga Counseling Services Inc | Current | Accepting new patients | |
| Empire State Psychiatric Medicine PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
17 E Genesee St
Auburn, NY 13021
Phone (315) 253-9795
17 E Genesee St
Fl 2
Auburn, NY 13021
Phone (315) 253-9795
17 E Genesee St
Ste 1
Auburn, NY 13021
Phone (315) 253-9795
315 Madison Ave
Rm 2000
New York, NY 10017
Phone (646) 661-5225
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Auburn, NY
- NPI 1194874610
-
- Psychiatry Physician
- New York, NY
- NPI 1245087261
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1558971002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 MADISON AVE RM 2000",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100175416",
"telephone_number": "646-661-5225",
"fax_number": "929-671-3068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 E GENESEE ST STE 1",
"city": "AUBURN",
"state": "NY",
"postal_code": "130214068",
"telephone_number": "315-253-9795"
}
],
"practiceLocations": [
{
"address_1": "315 Madison Ave Rm 2000",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100175416",
"country_code": "US",
"telephone_number": "646-661-5225",
"fax_number": "929-671-3068",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERG",
"first_name": "ASHLEY",
"middle_name": "LEANN",
"name_prefix": "Mrs.",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-08",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "407171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.