Individual provider Active NPI

Ellen B Berlinsky, PH.D.

  • Clinical Psychologist
  • Taunton, MA
National Provider Identifier
1609987320
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3370 Issued in MA
Practice address
125 High St
Taunton, MA 02780-3529
Phone
(508) 823-0304
Fax
(508) 880-9887
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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 3370 MA Primary

Addresses

Primary practice location

125 High St
Taunton, MA 02780-3529

Mailing address

125 High St
Taunton, MA 02780-3529
Phone (508) 823-0304

Other identifiers 1

IdentifierTypeStateIssuer
0513997MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20100917000463 MA Practitioner - Clinical Psychologist 2860517505 Practice locations: Taunton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

125 High St
Taunton, MA 02780-3529
Phone (508) 823-0304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1609987320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HIGH ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803529",
            "telephone_number": "508-823-0304",
            "fax_number": "508-880-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HIGH ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803529",
            "telephone_number": "508-823-0304",
            "fax_number": "508-880-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLINSKY",
        "first_name": "ELLEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "3370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0513997",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.