Organization Active NPI

R. Berke & Associates, P.a.

  • Clinical Psychologist
  • Amherst, NH
National Provider Identifier
1750560199
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
113 Issued in NH
Legal business name
R. BERKE & ASSOCIATES, P.A.
Practice address
82A Ponemah Rd
Amherst, NH 03031-3110
Phone
(603) 672-4150
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Dr. Richard Berke, PH.D.
Title
Owner
Phone
(603) 672-4150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 113 NH Primary

Addresses

Primary practice location

82A Ponemah Rd
Amherst, NH 03031-3110

Mailing address

82A Ponemah Rd
Amherst, NH 03031-3110
Phone (603) 672-4150

Other identifiers 1

IdentifierTypeStateIssuer
83622837MedicaidNH

National Provider Directory

National Provider Directory

Locations

82A Ponemah Rd
Amherst, NH 03031
Phone (603) 672-4150

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1750560199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82A PONEMAH RD",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030313110",
            "telephone_number": "603-672-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82A PONEMAH RD",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030313110",
            "telephone_number": "603-672-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. BERKE & ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "BERKE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-672-4150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83622837",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.