Susan H Berk, M.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

440 Issued in OH

Practice address

1440 Lakeside Ave E
Cleveland, OH 44114-1137

Phone

(216) 523-8498

NPI assigned

Mar 12, 2014

Sex

Female

Sole proprietor

Yes

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

Master of Science

State licenses

Practice roles

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.

• Cleveland Metropolitan School District

  • Local Education Agency (LEA)
  • Cleveland, OH
  • NPI 1720403934
  NPD (past)

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1659797801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 EUCLID HEIGHTS BLVD",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441182025",
            "telephone_number": "216-523-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 LAKESIDE AVE E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441141137",
            "telephone_number": "216-523-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERK",
        "first_name": "SUSAN",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Susan Bergomi, CNP
• Rose Anne Berila, PCNS
• Gail Beriswill, CNP
• Ali Berjaoui
• Alexander Nathan Berk, MD
• Maura C Berkelhamer, MD
• Alan Scott Berki, LISW-S
• Michelle J Berkley-Brown, CNP
• Veronica Berkley
• Eric Harlan Berko, PH.D.

• Psychologist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.