Organization Active NPI

Melvin Berg PHD LLC

  • Clinical Psychologist
  • Topeka, KS
National Provider Identifier
1780941534
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
494 Issued in KS
Legal business name
MELVIN BERG PHD LLC
Practice address
2201 SW 29TH St
Topeka, KS 66611-1975
Phone
(785) 230-1981
Fax
(785) 273-1424
NPI assigned
Apr 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Dr. Melvin Berg, PHD
Title
Owner
Phone
(785) 230-1981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 494 KS Primary

Addresses

Primary practice location

2201 SW 29TH St
Topeka, KS 66611-1975

Mailing address

2201 SW 29TH St
Topeka, KS 66611-1975
Phone (785) 230-1981

National Provider Directory

National Provider Directory

Locations

4848 SW 21st St
Ste 201
Topeka, KS 66604
Phone (785) 230-1981

2955 SW Wanamaker Dr
Ste B
Topeka, KS 66614
Phone (785) 221-2755

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1780941534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 SW 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666111975",
            "telephone_number": "785-230-1981",
            "fax_number": "785-273-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 SW 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666111975",
            "telephone_number": "785-230-1981",
            "fax_number": "785-273-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN BERG PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-230-1981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.