Michael E. Berger PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP 1910 Issued in MN

Legal business name

MICHAEL E. BERGER PA

Practice address

5353 Gamble Dr
Suite 160
St Louis Park, MN 55416-1509

Phone

(952) 929-2276

Fax

(952) 929-8576

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Berger, PHD, LPNPI 1831180579

Title

Licensed Psychologist

Phone

(952) 929-2276

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

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

• Michael Erling Berger, PHD, L.P.

  • Psychologist
  • St Louis Park, MN
  • NPI 1831180579
  Medicare reassignment NPD Authorized official
• Barbara Ellen Berger, MSW

  • Clinical Social Worker
  • St. Louis Park, MN
  • NPI 1912273558
  NPD (past)
• Zvi J Frankfurt, MD

  • Psychiatry Physician
  • Saint Louis Park, MN
  • NPI 1437124773
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1841347085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 GAMBLE DR",
            "address_2": "SUITE 160",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161509",
            "telephone_number": "952-929-2276",
            "fax_number": "952-929-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 GAMBLE DR",
            "address_2": "SUITE 160",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161509",
            "telephone_number": "952-929-2276",
            "fax_number": "952-929-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E. BERGER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "952-929-2276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 1910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431547200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Hamilton Meyers, M.A., LPCC
• Mathew Meyers, MA, LMFT
• Alessandra Mezen
• Jenni Sasha Mezeritski, MSN, APRN, NP-C
• Jennifer Donsbach Mezzenga, N.P.
• Michael J Nelson D.D.S., PA
• Michael James Krumholz
• Virginia Marie Michel, DPT
• Michelle Wincell
• Kyle Peter Michelson, MD

• Clinical Psychologist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.