Organization Active NPI

Paul C. Berman & Katherine W. Killeen, PA

  • Clinical Psychologist
  • Towson, MD
National Provider Identifier
1639501570
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2032 Issued in MD
Legal business name
PAUL C. BERMAN & KATHERINE W. KILLEEN, PA
Practice address
102 W Pennsylvania Ave
Suite 306
Towson, MD 21204-4526
Phone
(410) 337-8191
Fax
(410) 337-8192
NPI assigned
Aug 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Dr. Paul C Berman, PH.D.
Title
President
Phone
(410) 337-8191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2032 MD Primary

Addresses

Primary practice location

102 W Pennsylvania Ave
Suite 306
Towson, MD 21204-4526

Mailing address

102 W Pennsylvania Ave
Suite 306
Towson, MD 21204-4526
Phone (410) 337-8191

National Provider Directory

National Provider Directory
Tax ID family
Paul C Berman Katherine W Killeen PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

102 W Pennsylvania Ave
Ste 306
Towson, MD 21204
Phone (410) 337-8191

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1639501570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W PENNSYLVANIA AVE",
            "address_2": "SUITE 306",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044526",
            "telephone_number": "410-337-8191",
            "fax_number": "410-337-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W PENNSYLVANIA AVE",
            "address_2": "SUITE 306",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044526",
            "telephone_number": "410-337-8191",
            "fax_number": "410-337-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL C. BERMAN & KATHERINE W. KILLEEN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-337-8191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "2032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.