Individual provider Active NPI

Stacey Berman, OTR/L

  • Pediatric Occupational Therapist
  • Monsey, NY
National Provider Identifier
1801041173
Registry record updated Nov 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
002770-1 Issued in NY
Practice address
17 Glenbrook Rd
Monsey, NY 10952-1308
Phone
(845) 216-4081
Fax
(845) 362-5356
NPI assigned
Nov 29, 2008
Last updated
Nov 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 002770-1 MN
Specialist 174400000X 002770-1 NY
Pediatric Occupational Therapist 225XP0200X 002770-1 NY Primary

Addresses

Primary practice location

17 Glenbrook Rd
Monsey, NY 10952-1308

Mailing address

17 Glenbrook Rd
Monsey, NY 10952-1308
Phone (845) 216-4081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
002770-1NYMDAcupuncturist
002770-1MNMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1227916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227916800000",
    "number": "1801041173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 GLENBROOK RD",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521308",
            "telephone_number": "845-216-4081",
            "fax_number": "845-362-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 GLENBROOK RD",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521308",
            "telephone_number": "845-216-4081",
            "fax_number": "845-362-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "STACEY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-29",
        "last_updated": "2008-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "002770-1",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "002770-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "002770-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2008; 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.