Individual provider Active NPI

Madaline Berley, LCSW

  • Group Psychotherapy Psychologist
  • New York, NY
National Provider Identifier
1710043195
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
License
R032852 Issued in NY
Practice address
155 East 55TH St NE
Suite 5J
New York, NY 10022-4038
Phone
(212) 759-4245
Fax
(212) 988-3906
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

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
Group Psychotherapy Psychologist 103TP2701X R032852 NY Primary

Addresses

Primary practice location

155 East 55TH St NE
Suite 5J
New York, NY 10022-4038

Mailing address

155 East 55TH St NE
Suite 5J
New York, NY 10022-4038
Phone (212) 759-4245

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

232 E 63Rd St
New York, NY 10065-7614

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710043195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 EAST 55TH ST NE",
            "address_2": "SUITE 5J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224038",
            "telephone_number": "212-759-4245",
            "fax_number": "212-759-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 EAST 55TH ST NE",
            "address_2": "SUITE 5J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224038",
            "telephone_number": "212-759-4245",
            "fax_number": "212-988-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLEY",
        "first_name": "MADALINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NY",
            "license": "R032852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.