Active NPI
Janice Sandra Berman, PH.D.
- Clinical Child & Adolescent Psychologist
- Concord, MA
National Provider Identifier
1831189323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 6773
- Practice address
- 9 Damonmill SQ
Suite 4a-1
Concord, MA 01742-2858 - Phone
- (978) 201-6065
- NPI assigned
- Oct 26, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6773 | MA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6773 | MA | Primary |
Addresses
Primary practice location
9 Damonmill SQ
Suite 4a-1
Concord, MA 01742-2858
Mailing address
9 Damonmill SQ
Suite 4a-1
Concord, MA 01742-2858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 10, 2020 through Jun 10, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9 Damonmill Square
Suite 1
Concord, MA 01742-2864
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6773 | MA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1831189323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 DAMONMILL SQ",
"address_2": "SUITE 4A-1",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 DAMONMILL SQ",
"address_2": "SUITE 4A-1",
"city": "CONCORD",
"state": "MA",
"postal_code": "017422858",
"telephone_number": "978-201-6065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "JANICE",
"middle_name": "SANDRA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-26",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "6773",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "6773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- 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.