Active NPI
Valentin Berman, M.D.P.C.
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1750428967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036081190
- Practice address
- 3711 Pine Grove
Chicago, IL 60613 - Phone
- (773) 914-0753
- Fax
- (708) 499-3515
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036081190 | IL | Primary |
Addresses
Primary practice location
3711 Pine Grove
Chicago, IL 60613
Mailing address
3711 N Pine Grove Ave
Chicago, IL 60613-4121
Phone (773) 914-0753
Other practice location 1
228 E Lake St
Addison, IL 60101-2889
Phone (630) 835-1430
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31604167 | Other | IL | BLUE CROSS BLUE SHIELD ID |
| 036081190 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Rush Medical College of Rush University, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10801 S Western Ave
Suite 2B
Chicago, IL 60643-3225
Phone (708) 499-3525
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036081190 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valentin Berman MD PC | Psychiatry | Current | Accepting new patients |
| Mirjam Quinn and Associates, LTD | Current | Accepting new patients |
Locations
10801 S Western Ave
Ste 2B
Chicago, IL 60643
Phone (708) 499-3525
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
Interoperability endpoints
- valentin.berman.2@29472.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Evergreen Park, IL
- NPI 1821122029
-
- Clinical Psychologist
- Chicago, IL
- NPI 1730577685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1750428967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3711 N PINE GROVE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606134121",
"telephone_number": "773-914-0753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3711 PINE GROVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60613",
"telephone_number": "773-914-0753",
"fax_number": "708-499-3515"
}
],
"practiceLocations": [
{
"address_1": "228 E Lake St",
"address_purpose": "LOCATION",
"city": "Addison",
"state": "IL",
"postal_code": "601012889",
"country_code": "US",
"telephone_number": "630-835-1430",
"fax_number": "630-835-1433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERMAN",
"first_name": "VALENTIN",
"name_prefix": "Mr.",
"credential": "M.D.P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036081190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "31604167",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036081190",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.