Active NPI
Larisa Berman, MS CCC-SLP
- Speech-Language Pathologist
- Stamford, CT
National Provider Identifier
1801895503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 003050
- Practice address
- 1400 Bedford St
St #2
Stamford, CT 06905-5200 - Phone
- (203) 569-3848
- NPI assigned
- Jul 15, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 003050 | CT | Primary |
Addresses
Primary practice location
1400 Bedford St
St #2
Stamford, CT 06905-5200
Mailing address
1400 Bedford St
St #2
Stamford, CT 06905-5200
Phone (203) 569-3848
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003050 | CT | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471392000000",
"number": "1801895503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 BEDFORD ST",
"address_2": "ST #2",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055200",
"telephone_number": "203-569-3848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 BEDFORD ST",
"address_2": "ST #2",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055200",
"telephone_number": "203-569-3848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "LARISA",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2016-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "003050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.