Active NPI
Raviv Brian Berlin, M.D.
- Psychiatry Physician
- Stamford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 269289
- Practice address
- 1 Hospital PLZ
Stamford, CT 06902-3602 - Phone
- (203) 276-7111
- Fax
- (203) 276-7081
- NPI assigned
- May 13, 2010
- Last updated
- Aug 31, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 269289 | NY | Primary |
Addresses
Primary practice location
1 Hospital PLZ
Stamford, CT 06902-3602
Mailing address
1 Hospital PLZ
Stamford, CT 06902-3602
Phone (203) 276-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Medical University of South Carolina College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hospital PLZ
Stamford, CT 06902-3602
Phone (203) 276-1000
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.6 of 100
- Quality
- 84.86
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 269289 | NY | MD | Adult Companion |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients | |
| Stamford Health Medical Group Inc | Psychiatry | Current | Accepting new patients |
| Maimonides Department of Psychiatry FPP | Psychiatry | Current | Accepting new patients |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Schuman-Liles Clinic, Inc | Psychiatry | Past | Accepting new patients |
| MMC OB-GYN Faculty Practice Plan | Past | Accepting new patients | |
| Anesthesiology Associates of Boro Park, LLP | Past | Accepting new patients | |
| Schuman-Liles Clinic, Inc | Psychiatry | Past | Accepting new patients |
Locations
1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925
5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
4802 10th Ave
#C
Brooklyn, NY 11219
Phone (718) 283-8163
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
7559 263rd St
Rm 132
Glen Oaks, NY 11004
Phone (718) 470-8023
300 Community Dr
Manhasset, NY 11030
972 Brush Hollow Rd
Westbury, NY 11590
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ABCIBA
- ravivberlin@mai.allscriptsdirect.net
- rberlin24222@stamfordhealth.direct-ci.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1376656710
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Pain Medicine (Anesthesiology) Physician
- Brooklyn, NY
- NPI 1518912302
-
- Specialist
- Brooklyn, NY
- NPI 1306843388
-
- Psychiatry Physician
- Fremont, CA
- NPI 1164555660
-
- Psychiatry Physician
- Oakland, CA
- NPI 1861568909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1851619902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL PLZ",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069023602",
"telephone_number": "203-276-7111",
"fax_number": "203-276-7081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL PLZ",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069023602",
"telephone_number": "203-276-7111",
"fax_number": "203-276-7081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERLIN",
"first_name": "RAVIV",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-13",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "269289",
"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 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.