Individual provider Active NPI

Michael Craig Berman, PSY.D.

  • Clinical Psychologist
  • Princeton, NJ
National Provider Identifier
1710042403
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00394100 Issued in NJ
Practice address
1000 Herrontown Rd
Princeton, NJ 08540-7716
Phone
(609) 273-3927
NPI assigned
Dec 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00394100 NJ Primary

Addresses

Primary practice location

1000 Herrontown Rd
Princeton, NJ 08540-7716

Mailing address

457 Dutch Neck Rd
East Windsor, NJ 08520-1215
Phone (609) 371-5835

Other identifiers 1

IdentifierTypeStateIssuer
56074400OtherNJMAGELLAN - PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710042403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 DUTCH NECK RD",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201215",
            "telephone_number": "609-371-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HERRONTOWN RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407716",
            "telephone_number": "609-273-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "MICHAEL",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00394100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN - PROVIDER #",
            "identifier": "56074400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.