Gayle R Berg, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

007919-1 Issued in NY

Practice address

70 Glen Cove Rd
Suite 209
Roslyn HTS, NY 11577-1726

Phone

(516) 621-0888

Fax

(516) 626-1843

NPI assigned

Sep 13, 2005

Sex

Female

Sole proprietor

Yes

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 NY

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, 1983

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

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308441600000",
    "number": "1598750796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GLEN COVE RD",
            "address_2": "SUITE 209",
            "city": "ROSLYN HTS",
            "state": "NY",
            "postal_code": "115771726",
            "telephone_number": "516-621-0888",
            "fax_number": "516-626-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GLEN COVE RD",
            "address_2": "SUITE 209",
            "city": "ROSLYN HTS",
            "state": "NY",
            "postal_code": "115771726",
            "telephone_number": "516-621-0888",
            "fax_number": "516-626-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "GAYLE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2011-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "007919-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy J Brodsky, D.C.
• Eunhye NP
• Joel Bruce Fieldman, M.D.
• Elizabeth Goulding, LCSW
• Joanne Guigliano-Leunis, LCSW

• Counseling Psychologist in Roslyn HTS, NY
• Providers in Roslyn HTS, NY by specialty
• Counseling Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2011; 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.