NPIMap

Individual provider Active NPI

Susan Ann Berman, PH.D.

  • Psychologist
  • Sherman Oaks, CA
National Provider Identifier
1649396706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY8626 Issued in CA
Practice address
13130 Burbank Blvd
Sherman Oaks, CA 91401-6037
Phone
(818) 779-5260
Fax
(818) 779-5167
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY8626 CA Primary

Addresses

Primary practice location

13130 Burbank Blvd
Sherman Oaks, CA 91401-6037

Mailing address

17145 Ostego St
Encino, CA 91316
Phone (818) 779-5260

Other identifiers 1

IdentifierTypeStateIssuer
PSIX002MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241108001025 CA Practitioner - Clinical Psychologist 8729512090 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY8626CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Help Group Child and Family Center CurrentSince Aug 27, 2024 Accepting new patients
The Help Group Child and Family Center Past Accepting new patients
The Help Group Child and Family Center Past Accepting new patients
The Help Group Child and Family Center Past Accepting new patients
The Help Group Child and Family Center Past Accepting new patients
Tthe Help Group Child and Family Center Past Accepting new patients
The Help Group Child and Family Center Past Accepting new patients
The Help Group Child and Family Center Past Accepting new patients
The Help Group Child and Family Center Past Accepting new patients

Locations

13130 Burbank Blvd
Sherman Oaks, CA 91401
Phone (818) 779-5100

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649396706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17145 OSTEGO ST",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91316",
            "telephone_number": "818-779-5260",
            "fax_number": "818-779-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13130 BURBANK BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914016037",
            "telephone_number": "818-779-5260",
            "fax_number": "818-779-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY8626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSIX002",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.