Organization Active NPI

Berger & Berger, PHDS, PC

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1669517728
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2-3297 Issued in TX
Legal business name
BERGER & BERGER, PHDS, PC
Practice address
11551 Forest Central Dr
123
Dallas, TX 75243-3920
Phone
(214) 692-5793
Fax
(214) 368-7311
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Authorized official

Name
Dr. Murray J Berger, PHD
Title
Treasurer
Phone
(214) 692-5793

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 367 TX
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 2-3297 TX Primary

Addresses

Primary practice location

11551 Forest Central Dr
123
Dallas, TX 75243-3920

Mailing address

11551 Forest Central Dr
123
Dallas, TX 75243-3920
Phone (214) 692-5793

Other identifiers 2

IdentifierTypeStateIssuer
0952467-01MedicaidTX
0326001-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

11551 Forest Central Dr
Ste 123
Dallas, TX 75243
Phone (214) 692-5793

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1669517728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11551 FOREST CENTRAL DR",
            "address_2": "123",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433920",
            "telephone_number": "214-692-5793",
            "fax_number": "214-368-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11551 FOREST CENTRAL DR",
            "address_2": "123",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433920",
            "telephone_number": "214-692-5793",
            "fax_number": "214-368-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGER & BERGER, PHDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "MURRAY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "214-692-5793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "367",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-3297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0952467-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0326001-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.