Clifton A Berwise, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

B1-0011339 Issued in DE

Practice address

300 Creek View Rd Ste 101
Newark, DE 19711-8547

Phone

(302) 307-3702

NPI assigned

Jan 10, 2025

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrative Psychology Group LLC

  • Psychologist
  • Newark, DE
  • NPI 1932550027
  NPD

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1649080771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 WARWICK RD N",
            "city": "LAWNSIDE",
            "state": "NJ",
            "postal_code": "080451024",
            "telephone_number": "917-497-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CREEK VIEW RD STE 101",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197118547",
            "telephone_number": "302-307-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERWISE",
        "first_name": "CLIFTON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DE",
            "license": "B1-0011339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Leigh Bergeman, PA-C
• Corinne Berkery, PHARMD
• Robert M Berley, MD
• Hali F Bernstein
• Kyra Berrios, FNP-BC
• Best Life Psychiatric Services LLC
• Best Open MRI LLC
• Gary A Beste, MD
• Eugene Bestman, D.D.S
• David R Beswick, MD

• All providers in Newark, DE
• Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.