Individual provider Active NPI

Peter Ludis Berzins

  • Clinical Psychologist
  • Pompton Plains, NJ
National Provider Identifier
1699004028
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00480600 Issued in NJ
Practice address
498 Turnpike Tpke
Pompton Plains, NJ 07444-1930
Phone
(973) 839-3060
Fax
(973) 907-2198
NPI assigned
Dec 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 018294-1 NY
Clinical Psychologist 103TC0700X 35SI00480600 NJ Primary

Addresses

Primary practice location

498 Turnpike Tpke
Pompton Plains, NJ 07444-1930

Mailing address

498 Turnpike Tpke
Pompton Plains, NJ 07444-1930
Phone (973) 839-3060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018294-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Birch Tree Psychology Clinical Current Accepting new patients
Vericare Behavioral Health of New Jersey, P.a. Clinical Past Accepting new patients

Locations

498 Turnpike Tpke
Pompton Plains, NJ 07444
Phone (973) 839-3060

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1699004028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 TURNPIKE TPKE",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441930",
            "telephone_number": "973-839-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 TURNPIKE TPKE",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441930",
            "telephone_number": "973-839-3060",
            "fax_number": "973-907-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERZINS",
        "first_name": "PETER",
        "middle_name": "LUDIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-14",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018294-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00480600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.