Kathryn Berk, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

003632 Issued in CT

Practice address

91 E Wharf Rd
Madison, CT 06443-3132

Phone

(203) 823-0068

NPI assigned

Oct 10, 2006

Last updated

Mar 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1639267016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 E WHARF RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433132",
            "telephone_number": "203-823-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 E WHARF RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433132",
            "telephone_number": "203-823-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERK",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "675",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Phillip Baxter, OTR/L
• Barbara Lynn Baycroft, LPC
• Catherine May Beames, LMSW
• Lindsay Benjamin
• Briana Benn-Mirandi, LPC
• Edward L Berlin, DMD
• Lisa Berlin, M.D.
• Heather M Bernstein
• Katharine Bernstein, PHD
• Jessica Bessette, LCSW

• Clinical Psychologist in Madison, CT
• Providers in Madison, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.