Ellen M Berman, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD012986E Issued in PA

Practice address

321 Mallwyd Rd
Merion Station, PA 19066-1410

Phone

(610) 667-4617

Fax

(215) 893-4388

NPI assigned

Aug 11, 2007

Last updated

Aug 26, 2016By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 19, 2016 through Sep 19, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1689866899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MALLWYD RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661410",
            "telephone_number": "610-667-4617",
            "fax_number": "215-893-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MALLWYD RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661410",
            "telephone_number": "610-667-4617",
            "fax_number": "215-893-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "ELLEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-11",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD012986E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Gaines Bartos, SLP
• Sigal B Barzilay, BCBA
• Bell Rose Homecare Services LLC
• Avivit Ben-Samuel
• Philip Lowell Benditt, M.D.
• James Craig Berman, M.D.
• Susan Blackman, LCSW
• Jay S Bonovitz
• Michelle Brawer, M.S., CCC-SLP
• Rivkah Bresler, M. S., CCC-SLP

• Psychiatry Physician in Merion Station, PA
• Providers in Merion Station, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.