Andrew L Berger, PH.D., PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

007532 Issued in NY

Legal business name

ANDREW L BERGER, PH.D., PC

Practice address

283 Commack Rd
Suite LL2
Commack, NY 11725-6021

Phone

(631) 499-6143

Fax

(631) 493-0352

NPI assigned

Apr 18, 2012

Last updated

Apr 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew L Berger, PH.D.NPI 1730225020

Title

President

Phone

(631) 499-6143

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Leigh Berger, PHD

  • Psychologist
  • Commack, NY
  • NPI 1730225020
  NPD (past) Authorized official

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1669739538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 COMMACK RD",
            "address_2": "SUITE LL2",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117256021",
            "telephone_number": "631-499-6143",
            "fax_number": "631-493-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 COMMACK RD",
            "address_2": "SUITE LL2",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117256021",
            "telephone_number": "631-499-6143",
            "fax_number": "631-493-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW L BERGER, PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-499-6143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "007532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "V21871",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andrew Joseph Leo, MD P.C.
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• Melissa Antonow
• Nicholas Frederick Aquino, AU.D
• Jamie Elissa Aranoff, CCC-SLP
• Jenna Aranoff, M.A.

• Psychologist in Commack, NY
• Providers in Commack, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.