Stacy Berrin, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

68 013708 Issued in NY

Practice address

1 Taymil Rd
New Rochelle, NY 10804-2801

Phone

(914) 715-7038

Fax

(914) 738-5105

NPI assigned

Jun 1, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stacy Berrin Wasserman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1740416072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TAYMIL RD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042801",
            "telephone_number": "914-715-7038",
            "fax_number": "914-738-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TAYMIL RD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042801",
            "telephone_number": "914-715-7038",
            "fax_number": "914-738-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIN",
        "first_name": "STACY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "68 013708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "WASSERMAN",
            "middle_name": "BERRIN",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Noah Berkowitz, M.D., PH.D.
• Karen Ann Berlingo, LPN
• Danya Berman, LCSW
• Deborah Bern, SOCIAL WORKER
• Mark Bernhardt, M.D.
• Sylvia Berrios-Spencer
• Andrea Patricia Berryman
• Chrystal Dawn Bertrand, RN
• Best Anesthesia PC
• Bethesda Senior Ministries, Inc

• Clinical Neuropsychologist in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.