William Howard Berman Jr., PH.D.
Individual provider Active NPI Clinical Psychologist · Stamford, CT
NPI 1629134754 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629134754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 001178 (CT)
- Practice address
- 123 Macgregor Dr
Stamford, CT 06902-1409 - Phone
- (203) 323-0712
- Fax
- (203) 323-0725
- NPI assigned
- Jan 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001178 | CT | MD | Clinical Psychologist |
| 009107-1 | NY | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 001178 | CT | Yes |
| Clinical Psychologist | 103TC0700X | 009107-1 | NY |
Addresses
Primary practice location
123 Macgregor Dr
Stamford, CT 06902-1409
Mailing address
123 Macgregor Dr
Stamford, CT 06902-1409
Phone (203) 323-0712
Other providers in Stamford, CT
- Michael Adam Bergman
- David Martin Berkun
- Raviv Brian Berlin
- Ellen Raynes Berman
- Larisa Berman
- Diana M Bernal-Messinger
- Michael Adam Bernstein
- Angela Victoria Berry
- Bertacchi & Associates, PC
- Melissa Bertuzzi
All providers in Stamford, CT · Clinical Psychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.