Allen Berger, PH.D PSYCHOLOGIST
Individual provider Active NPI Mental Health Counselor · Carson, CA
NPI 1700226263 · NPPES record last updated Jun 28, 2013
Key facts
- NPI
- 1700226263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 12869 (CA)
- Practice address
- 460 Est. Carson Plaza Dr. #119
Carson, CA 90746 - Phone
- (310) 532-6030
- Fax
- (310) 532-8441
- NPI assigned
- Jun 28, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Dec 10, 2018 through Dec 10, 2026
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12869 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12869 | CA | Yes |
Addresses
Primary practice location
460 Est. Carson Plaza Dr. #119
Carson, CA 90746
Mailing address
460 Est. Carson Plaza Dr. Suite#119
Carson, CA 90746
Phone (310) 532-6030
Other providers in Carson, CA
- Zita Chidimma Benjamin
- Kevin Bennett
- Lorilynn Ann Bennett
- Rebecca Ann Bennett
- Ryan Joshua Bentick
- Sofia Bernabe
- Brittany Lyshion Berry
- Celia De Guzman Beto
- Betterlife Provider
- Nadia Bey
All providers in Carson, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.