Individual provider Active NPI

Melissa Berman-Craig, MSCP, LPC

  • Clinical Psychologist
  • Fort Washington, PA
National Provider Identifier
1568194835
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PC012333 Issued in PA
Practice address
455 Pennsylvania Ave Ste 250
Fort Washington, PA 19034-3400
Phone
(215) 653-0363
NPI assigned
Jun 27, 2022
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PC012333 PA Primary

Addresses

Primary practice location

455 Pennsylvania Ave Ste 250
Fort Washington, PA 19034-3400

Mailing address

455 Pennsylvania Ave Ste 250
Fort Washington, PA 19034-3400
Phone (215) 653-0363

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

State licenses

LicenseStateTypeSpecialty
PC012333PAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1568194835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PENNSYLVANIA AVE STE 250",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343400",
            "telephone_number": "215-653-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 PENNSYLVANIA AVE STE 250",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343400",
            "telephone_number": "215-653-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN-CRAIG",
        "first_name": "MELISSA",
        "credential": "MSCP, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PC012333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.